SCREENING REQUEST FORM
Tell us about your idea to bring LIYANA to your community and we'll get back to you as soon as possible with more information.
Email address *
NAME *
Your answer
THIS REQUEST IS FROM A...
Name of Organization, Company, Theater, or Festival (if applicable)
Your answer
COUNTRY *
CITY, STATE (U.S.) // CITY, PROVIDENCE/DISTRICT/REGION (OUTSIDE U.S.)
Your answer
HOW MANY GUESTS DOES YOUR VENUE ACCOMMODATE?
Your answer
WILL YOU BE CHARGING ADMISSION FOR THE EVENT?
WILL YOU BE USING THIS EVENT AS A FUNDRAISER?
Are you interested in having a filmmaker attend for a live Q&A? *Travel costs and honorarium apply
Do you wish to have a filmmaker Skype in for a Q&A? *Skype-in fee applies
COMMENTS & ADDITIONAL INFO
Your answer
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