Eleventh Hour Films LLC - Screening/Exhibition questionnaire
Thank you for your interest in OUT OF MY HEAD! Please fill out this form as best you're able, and we will be in touch with you to discuss details and pricing for licensing the film based on your answers. Use the bottom of this form for any additional questions.
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Email *
Your contact information - Your name, and title if applicable: *
Your contact information - Organization or Business Name if applicable
Your contact information - phone number
Is the proposed event open to the public? *
Are you interested in a single screening or multiple screenings? *
Do you represent a not-for-profit organization or institution? *
Do you represent a corporation or health-industry related company? *
How many people would you like to have attend the screening? *
Do you plan to charge admission? *
Which version of OUT OF MY HEAD would you prefer for your screening? *
Do you know at this time what format you would like delivered for film projection? *
If "yes" to format question, please choose one
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On screen subtitles for the following languages are available. Please select if interested.
Thank you for completing the form. If you have any questions or additional comments please write them below.
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