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Movie licensing quote request form


Address:
 City:





Contact person:

Website:
 Facebook page:
1. When will your event(s) occur (YYYY-MM-DD):
2. Municipal Population (residents):
3. Name and distance from the nearest theatre:
(km)
4. Where will your event(s) occur?
   
Precise location:
5. Will this event be open to the general public?
   
6. What is the context of this event?
   
Other:
7. Location capacity (seats):
8. Expected attendance (estimated):

       If yes, how much?   $ 
10. What type of film do you want:
   
Title(s) you wish to present:
11. Would you like any suggestions?
   
If yes, what type of film are you looking for?
Other:
12. What type of publicity will you be doing for this event?



If yes, please specify which one:
14. Please give any other additional details concerning your event:
The information you have entered can be saved once you have submitted your request

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