ApplicationFor Holding Independent Screenings Name * First Name Last Name Email * Phone * (###) ### #### Organization Name * Organization Location * Screening Format * In-person Screening Virtual Screening Request Q&A with Director? For "Yes", Please email us @silentfalloutproject@gmail.com for further discussions Yes, we want to have Q&A session with Director No, we just want to watch the film Date * MM DD YYYY Start Time * Hour Minute Second AM PM End Time * Hour Minute Second AM PM Expected Attendees Screening Venue Information Address 1 Address 2 City State/Province Zip/Postal Code Country Film(s) to Screen Silent Fallout (75mins) X Years Later 1 / 2012 (83mins) X Years Later 2 / 2015 (86mins) Can we share your screening event in our channels? It helps us showcase our activities in the US and expand screenings. Yes No Please provide the URLs for your screening promotion Example) Website, Facebook, Instagram, etc... How did you hear about us? Word of mouth SNS Media Internet surfing Physical fliers Message Thank you!
