4 WHEEL BOB Screening Kit/ Educational DVD Application
Please fill in your screening details below. We will contact you within 7 days to finalize your purchase after receiving this request.

Note: All public screenings require a license agreement and license fee. Please see our Screening License FAQ for more details on the film, licensing and cost (TBD). DVDs for educational classroom use are also available; please indicate this preference below. Please do not fill out this form if you want to screen the film in your home. (Home-use DVDs will not be available until 2019).

Your First Name *
Your answer
Your Last Name *
Your answer
Your Email Address *
Your answer
Your Phone Number *
Please list as (xxx) xxx-xxxx
Your answer
Your Organization's Name *
Which group will be the main organizer or sponsor of the screening? This organization will be the entity to whom your license agreement will be addressed.
Your answer
Your Title
Your answer
Your Organization's Website
What is your organization's complete web address?
Your answer
Co-Hosting Organizations
Which organization(s) might you collaborate with to co-sponsor a screening?
Your answer
Your Shipping Address *
Please enter your complete street address (street, city, state, and ZIP code). PLEASE NOTE: We cannot ship to P.O. boxes.
Your answer
Venue Name
Please list your venue's official name. (This is where you will be screening the film for your audience.)
Your answer
Venue Street Address
Please indicate your venue's street name and number.
Your answer
Venue City
Your answer
Venue State
(Example: CA, NY, TX)
Your answer
Venue Country
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Desired Date(s) of Exhibition *
Please list the tentative or confirmed date(s) you wish to host your event (e.g., 8/15/18).
Your answer
Time(s) of Exhibition
Please list the time(s) you plan to hold your event (e.g., 7:30 pm). Tentative times OK
Your answer
Will your event be part of a conference/symposium? *
If yes, please include a link to the conference.
Your answer
Public Listing? *
Will your screening be open for public audiences to attend? If so, we'd like to help promote your event on 4 WHEEL BOB's website!
Your answer
Inviting a speaker? *
We would be thrilled to be able to send Director Tal Skloot or film subject Bob Coomber to speak at your event when possible. If you wish to discuss the possibility, please describe your estimated budget for travel stipend, lodging and honorarium/appearance fee. (When in-person appearances are not possible, we can arrange a Skype virtual appearance)
Your answer
Public Exhibition License Type *
Please select the type of screening license you are interested in. NOTE: ALL 4 WHEEL BOB SCREENINGS REQUIRE A LICENSE FEE TO ENTITLE YOUR ORGANIZATION TO THE COPYRIGHT PERMISSIONS TO SCREEN THE FILM.
License Fee *
Your license will only be valid if the correct amount is paid for your event/purchase type. Please ensure accuracy.
Which film length & format will you require? *
We have 72 minute and 56 minute versions of 4 WHEEL BOB available on DVD and Blu-ray format discs.
Questions or Comments?
Anything you would like to add?
Your answer
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