Inequality for All Screening Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the form below and ro*co films will follow up with you as soon as possible. Please feel free to contact Kristin Cooney at kristin@rocofilms.com with any questions or for further information

Notes:
**All public screenings require a license, the cost of which will be determined based on your responses below.

**Please do not fill out this form if you want to screen the film in your home.

**You can also order the film and license directly from ro*co here: http://www.rocoeducational.com/inequality_for_all

Thank you!

Last Name *

First Name *

Email address *

Double check this please, we're receiving many incorrect email addresses

Phone number

Organization / Affiliation / School *

City *

State *

Abbreviate your state please (eg CA instead of California)

Desired Date *

Will the screening be free?

Yes

Clear selection

Is the screening open to the public?

Yes

Clear selection

Venue size *

(We cannot supply a screening quote without the venue size)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms