Microplastic Madness - movie screening request form
In emergencies please contact us at info@cafeteriaculture.org
Email address *
How did you hear about our film? *
Your answer
Host organization contact information
Organization name *
Your answer
Organization description *
Your answer
Type of organization *
If you are an "Educational - Public K-12" organization, are you a Title 1 school? *
Organization website *
Your answer
Social Media handles *
Your answer
Name of key contact person *
Your answer
Email address of key contact person *
Your answer
Phone number *
Your answer
Please share information about your screening/event
What is your preferred time frame/event date(s) for screening? *
Your answer
How many screenings will you hold? *
Your answer
Name of event *
Your answer
Type of event *
Venue Name and Address *
Your answer
Venue Type *
Seating Capacity *
Your answer
Audience (Check all the apply) *
Required
In what format will the film be shown in? *
Are you charging admission? *
If you are charging admission or suggested donation, what is the price for a ticket? (If free, enter "N/A") *
Your answer
Questions on Post-Screening Panel
Are you planning a post-screening panel or Q&A? *
If so, are you interested in someone from Cafeteria Culture joining the panel? (please note that we have limited resources for this right now but are taking requests) *
Your answer
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