Ay Mariposa Film Club

1
Full Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
3
Contact Number* This field is required.
Area Code
Phone Number
4
Screening Location* This field is required.City, State, Country where you will host your screening
5
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$20
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
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Ay Mariposa Film Club
$100.00Edit
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6
Screening License agreement* This field is required.The Ay Mariposa Film Club screening license covers two(2) events with up to 20 people each. The film files and other promotional resources are provided for limited, non-commercial use only. The film cannot be uploaded to the internet, or shared in any manner other than those outlined in the screening license delivered upon purchase.
I accept the screening license terms
7
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