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White Rock
Community Screening Request Form
14
Questions
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1
Name
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2
Email Address
example@example.com
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3
Phone Number
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4
Location of Screening
Town/Suburb, State/Territory, and venue name if known.
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5
Organisation Affiliation
If appropriate
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6
Ideal Date(s) for the Screening
Let us know if you’re flexible or have a specific timeframe in mind.
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7
Type of Screening
Tick boxes and/or add your own
Community event
School or university screening
Council-led initiative
Film festival or environmental event
Other
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8
Why are you interested in hosting a screening?
A short answer about your motivation or what you hope to achieve.
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9
Estimated Audience Size
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10
Are you planning on selling tickets to the screening
Yes
No
Not sure yet
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11
Are you planning a Q&A or discussion after the screening?
Yes
No
Not sure yet
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12
If yes, who do you have in mind as speakers?
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13
Will you aim to raise funds at your event?
Yes
No
Not sure yet
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14
Join our mailing list for news, screenings and ways to get involved.
YES
NO
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