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HOST A SCREENING & TOWN HALL FORM

(National Premier Film Launch begins Thursday, September 12 – Sunday, December 1, 2019)

Host Details

Social Media Profiles

Organization

Screening

Interested Date for Hosting a Screening:(Provide two options of availability)

Does the Screening Location have a stage?(AV needs provided in Partnership Agreement)

YesNo

Alternatively, download the pdf form. Fill and send us back – pushoutfilm@gmail.com

DOWNLOAD FORM