BLOOD STRIPE Screening Request Form
Thank you for your interest in organizing a screening of BLOOD STRIPE. Please complete the form below and we will be in touch very soon.

NOTE: All public screenings **require** a license, the cost of which will be determined based on your responses.
If you have any questions or need immediate assistance, please email Annie: anniemichellebush@gmail.com

About You
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Phone number
Your answer
Organization / Affiliation / School Name *
Your answer
How did you hear about the film? *
Your answer
City *
Your answer
State / Provence *
Your answer
Country
Your answer
About Your Event
Desired Date of Screening *
Your answer
Anticipated Audience Size *
Venue (If you aren't sure, simply type TBD) *
Your answer
Are you charging for tickets? *
Is the screening open to the public? *
Do you plan to advertise the event? If so, how? *
Your answer
Submit
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