"Coded Bias" Screening Request Form
Bring "Coded Bias" to your campus, a theater, organization, or community venue! Please enter the following information to help us prepare for your event. We will reach out to you to finalize your community screening license and learn more about your event.
Email address *
Full Name *
Your answer
Phone Number *
Your answer
Company / Organization *
Your answer
Venue Name *
Your answer
Venue Address *
Your answer
Venue Type
What is the seating capacity for your venue?
Your answer
Audience Type *
What is your expected audience size? *
Your answer
How many screenings would you like to hold? *
Your answer
What are your screening dates? *
Your answer
Is this a conference? *
Are you charging admission? *
If you are charging admission, what is the price per ticket? (If free, enter "N/A") *
Your answer
Preferred Screening Format *
Is this a fundraiser? *
Are you interested in a Q&A with the filmmaker or film's protagonist? *
A Brief Description of the Screening Event *
Your answer
How did you hear about the film?
Your answer
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