Fundraising Film Screening License Request Form
Submit this form to request permission to screen a film as part of your organization's fundraising event.
Organization Name
*
Contact Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Film Title
*
Event Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Venue/Location of Screening
*
Estimated Audience Size
*
Fundraising Purpose/Beneficiary
*
Request Status
*
Please Select
New
In Review
Approved
Denied
Submit Request
Should be Empty: