Host Group Showing
**PLEASE READ**

By filling out this form, you are agreeing to be the host of this event.

This event is meant to be FREE to the viewing audience. If you wish to charge for admission, please contact us directly (countercolumnthemovie@gmail.com) to work out a license that better fits your needs.

You don't have to pay to show Counter Column. Instead we ask that you do the following:
1) Collect a freewill love offering at the showing to help support our film ministry.
2) Pass around a clipboard and paper and encourage people to sign up for the Counter Column newsletter.
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First Name *
Last Name *
Best Email *
Best Phone # *
Church/Ministry Name (if applicable)
City *
State *
Tentative Showing Date *
MM
/
DD
/
YYYY
How would you like to show the film? *
If you need a DVD, what's the best address to mail it to?
Important Agreement *
Required
Is there anything we can do to help you host this event successfully?
Any questions or comments?
Submit
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