Do you want to see BURN in your town?

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Please answer the questions below, and we'll see what we can do!

What is your full name? *

Phone number? *

E-mail address? *

Zip Code? *

In what city would you like to hold a screening? *

State *

Are you associated with a fire department, union, or local business? If so, please name: *

Have you seen the film yet at one of our fundraiser screenings? *

Do you have connections to local media? If yes, what media outlets? *

Please list the local cinemas, theaters, cultural centers or other venues that you have in mind to screen BURN. *

Please note: The more information you can give us about the theater, the quicker we can set up your screening. Please go in, talk to the manager, tell them this is important to your area firefighters. We look for a 200+ seat theater and can screen the movie on Blu-ray and DCP (They'll ask.) Also: It can't hurt to come in on shift and bring the rig!

If we are able to do a screening in your town, how involved would you like to be? *

I could be your main point person for the screening.

I want to help, but not run the whole thing.

I just want to attend the screening, not help with planning.

Other:

Anything else you want to add?

May we contact you via e-mail regarding BURN? *

We don't send very many e-mails, and we will never spam you or share your information with anyone else.

Yes, please contact me regarding BURN.

No, please don't contact me regarding BURN.

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