"The Age of Love" Public and Classroom Screening Application
Thank you for applying to host a screening of 'The Age of Love'. We're excited to be partnering with you! Please fill out the information below so that we can begin helping you plan your event.
Basic Screening Information
Date of Screening *
MM
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DD
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Time Screening Begins *
Time
:
Host Organization Information
Your Organization *
Your answer
Partner Organizations (if any)
Your answer
First Name *
of the individual responsible for coordinating this event
Your answer
Last Name *
of the individual responsible for coordinating this event
Your answer
Title *
of the individual responsible for coordinating this event (e.g., Program Director)
Your answer
Coordinator's Phone Number *
Your answer
Coordinator's Email Address *
Your answer
Organization's Website
if applicable
Your answer
Address (Line 1) *
of organization
Your answer
Address (Line 2)
of organization
Your answer
City *
of organization
Your answer
State *
of organization
Your answer
Zip Code *
of organization
Your answer
Country *
of organization
Your answer
Detailed Event Information
Anticipated Audience Size *
Your answer
Number of Screeings *
If you are interested in hosting multiple screenings of the film, please indicate that below.
Your answer
Venue Name *
Theater or specific room where the film will be shown
Your answer
Venue Address
Please specify if different from Organization Address
Your answer
Public or Private Event *
Is this event going to be advertised to the general public?
If public, please note if RSVP is required and the RSVP phone number/email.
Your answer
Is there a charge to attend? *
Please write either FREE or TICKETED (plus ticket price)
Ticket Price
How much do you plan to charge for this event?
Your answer
URL of your web page which contains detailed screening info, if any.
Your answer
Other elements planned around your screening?
Q&A, panel discussion, supper, dessert, etc.
Your answer
Speed Dating Event *
Are you interested in learning more about hosting your own Senior Speed Dating Event?
Proposed Speed Dating Event Date
We recommend using the screening to announce the event, which is scheduled 3 - 4 weeks later.
MM
/
DD
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YYYY
Shipping Information
Shipping Name and Address for Film and Screening Kit
Please specify if different from Organization Address.
Your answer
Format *
A Blu-ray provides a Hi-Definition picture and enhanced sound, but requires a Blu-ray player. PLEASE MAKE SURE to provide us with the correct selection, as most larger venues ask for a Blu-ray. If you're not sure right now, please leave a comment below, then let us know as soon as you can.
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