Revisioning Recovery Series - Screening Request Form
Thank you for your interest in hosting a free screening of Revisioning Recovery! The goal of these screenings is to inform and involve audiences in taking action toward equitable disaster preparation and recovery.

Please fill out this form with as much information as you can, and someone from the Working Films team will reach out to follow up.

Please email Hannah Hearn at hhearn@workingfilms.org if you have any questions!
What type of screening are you hosting? *
Required
Organization/Group Name *
Your answer
Contact Name *
Your answer
Email
Your answer
Phone Number
Your answer
City, State and Zip Code *
Your answer
How did you hear about this opportunity? *
Required
Date/time of your screening (MM/DD/YYYY). If you don't have a date/time scheduled, please just answer "TBD". *
Your answer
How many guests are you expecting? *
Your answer
Where will your screening be held? (Street Address, City, State, Zip Code). If you don't have a location yet, please just answer "TBD". *
Your answer
Would you like a DVD or downloadable link? *
Mailing Address for DVD (only if you need a DVD) *
Your answer
Any additional information you would like to share:
Your answer
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