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Email
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First Name(s)
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Last Name(s)
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Organization / Institution
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Role / Title
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Phone (optional):
Film / Video Requested
Title(s) requested
*
Purpose of Request
(Check all that apply)
Untitled checkboxes field
Press / Review
Festival Programming
Gallery / Exhibition Programming
Academic / Research
Educational Screening
Funding / Grant Review
Other: _______
Intended Viewing Context
Where will the screener be viewed?
Who will have access to the screener?
Estimated audience size (if screening)
Additional Notes
Usage Agreement
By submitting this request, I confirm:
The screener is for private evaluation only.
I will not share or publicly screen without written permission.
I will delete the file after review if requested.
Any additional use will require new permission.
Untitled checkboxes field
I agree to these conditions
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