I Lived on Parker Avenue
Team Member Request Form
Name
*
Prefix
First Name
Last Name
Title
*
E-mail
*
Organization / Group
*
Organization / Group Location
*
Phone Number
*
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Area Code
Phone Number
Approximate Event Attendance
*
Type of Event
*
Where will the event be held?
*
Is there a particular ILOPA Team Member You Are Requesting? If you are open to any of our team members, please indicate.
*
Describe the event and how an I Lived on Parker Avenue team member would participate.
*
Event Date/Time
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Day
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Month
Year
Date Picker Icon
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Hour
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10
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30
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50
Minutes
AM
PM
AM/PM Option
Will the entire I Lived on Parker Avenue be screened at the event?
*
YES
NO
Other
Could I Lived on Parker Avenue DVDs be sold at the event?
*
YES
NO
Other
If yes, can you provide a volunteer who an assist in selling DVDs?
YES
NO
Other
If no to the question above, will the team member be able to show clips of the film and/or the film's trailer?
*
YES
NO
Other
Length of Team Member's Remarks
*
Additional Comments:
Submit
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