Screening Request

TO ORGANIZE A SCREENING IN YOUR COMMUNITY OR ORGANIZATION PLEASE FILL OUT THE BELOW FORM AND WE WILL BE IN TOUCH ABOUT THE SCREENING AVAILABILITY: FEES AND/OR HONORARIUM FOR A SPEAKER AND TO SCHEDULE THE SCREENING.

Please fill out form

* Indicates required field

Name *

First

Last

Organization or School *

Email *

Phone Number *

Description of Screening *

Number of screenings *

Would you like Director Joseph Piner or another member of Free Spirits Film team to attend your screening event to present the film and engage your audience in a post-screening discussion? *

Choose one *

YES 1 NO 2

Ideal Screening Date

MM *

DD *

YYYY *

Ideal Screening Time

Phone Number *

Name of Event Where You Will Be Screening

Name *

Address of Event

Address *

Line 1

Line 2

City

State

Zip Code

Country

Submit