2023 CHARITABLE SCREENING APPLICATION

2023 Charitable Screening Application

Hosting Organization*

Charitable Number*

Event Coordinator*

First NameLast Name

Cell Number*

Area CodePhone Number

E-mail*

Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Organization Website

Organization Social Handles

Facebook, Instagram

Live Event Location*

Venue Name, Address, City & State/Province

Live Event Date & Time*

(TBA if undecided)

Virtual Event Location & Date

City, State/Province

List Any Venue Age Restrictions

Ticket Prices*

Advance & Door Prices (TBA if undecided)

Locations where physical tickets can be purchased

Screening License Fee*

Please process my deposit now!$250.00

Balance of $350 will be invoiced and due at time of event.

I prefer to pay the full license fee now!$600.00

Payment by check/cheque $ Free

Please mail your full payment ($600) or deposit ($250), payable to International Fly Fishing Film Festival (111, 7 Avenue S, Suite A Cranbrook, BC V1C 2J3)

Add a sponsor swag pack $200.00

Fly Fishing gear and swag from our sponsors to give away or raffle at your event! Pack valued at over $400!

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Signature*

Clear

By signing above, I acknowledge that I have the right to act on behalf of the hosting organization listed above.