Public Speaking Engagement

Name

First Last

Institution/Organization Name

Phone

Address

City State / Province / Region ZIP / Postal Code Country

Is the screening virtual or in-person?

For what type of organization will you be screening the film? *

All the films

Screening date (estimate if you are unsure)

Are you interested in having the filmmaker do a Q&A? Please note that we need at least two weeks notice to book a Q&A.

Yes

If you would like the filmmaker to do a Q&A, please list alternative dates.

Expected Audience Size *

Will you be charging admission?

Yes

Not Sure

How many times will you be showing the film?

Please share details of your film screening

Additional Information

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