Film Screening Payment Form
Please fill out the form to purchase your ticket for the film screening.
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Tickets
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General Admission Ticket
Access to the film screening.
$15.00
$
15.00
VIP Ticket
Access to the film screening with VIP seating and refreshments.
$30.00
$
30.00
Submit
Should be Empty: