Screening Form

Public Screening Request Form

Note: All Fields are required.
Film Requested	:	Miss HIV End of the Spear Little Town of Bethlehem (University & Public Exhibition $150 Non-Profits $100) The Grandfathers (University & Public Exhibition $150 Non-Profits $100) Beyond the Gates of Splendor

Type of Organization

University
Religious Group
Non-Profit Organization

Shipping Address

Contact Name

Street

City

State : Zip :

Screening Information

Name of Venue

Date of Screening

Time of Screening

Anticipated number of Attendees

Optional : *DVDs may be sold at the event for up to $20 with proceeds benefiting the nonprofit exhibiting organization. (*Minimun 5 DVDs Required)

Registered 501(c)3 Number

Payment Method

Paypal

* All Fields are required.