Movie licensing quote request form 306a3x

Name of organisation:

Address:
City:

Prov.:
Postal Code:
Phone:
Fax:

person:
Email:

Website:
Facebook page:

1. When will your event(s) occur (YYYY-MM-DD):

2. Municipal Population (residents):

3. Name and distance from the nearest theatre:
(km)

4. Where will your event(s) occur?
Outdoors Indoors

Precise location:

5. Will this event be open to the general public?
Yes No

6. What is the context of this event?
Free Community Event Fundraiser

Other:

7. Location capacity (seats):

8. Expected attendance (estimated):

9. Will you be charging an entry fee?
Yes No If yes, how much">

10. What type of film do you want:
A Pre-Release A Regular Film

Title(s) you wish to present:

11. Would you like any suggestions?
Yes No

If yes, what type of film are you looking for?
Family Classic Nature Popular Mature audience Religious

Other:

12. What type of publicity will you be doing for this event?

13. Are you currently dealing with an outdoor projection company?
Yes
No, please send me references
No, I have my own equipment

If yes, please specify which one:

14. Please give any other additional details concerning your event:

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