City Rising Screening Request
Please fill out the following to the best of your ability, we will be in touch promptly. If you have any questions or concerns, please email Justin Cram, jcram@kcet.org. Learn more: www.kcet.org/cityrising
Name
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Email Address
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Company / Organization Name
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Phone Number
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Email
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Screening Location Address 1
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Screening Location Address 2
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Expected Number of Attendees
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Number of Screenings
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Screening Date(s) and Time(s)
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Which City Rising episode?
Person Receiving Film
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Shipping Address 1
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Shipping Address 2
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City
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Zip Code
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Country
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Request Guest Speaker?
If yes, we will do our best to accommodate your request
Questions or Comments?
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