Rental User Submission Form

Your Name:

Email:

Phone Number:

Film(s) you'd like to screen:

Date of screening:
If there will be more than one screening, please write multiple

Name of the Venue or Program:

Address of Screening Venue
Please be sure to include the country if outside the USA

Reminder that rentals for screenings carry the following restrictions, unless explicitly stated:
1. We rent you a copy of the film for $125, provided no other film in your screening program is paid more.
2. We require that once the program is shown, ALL copies that you make from the source we make available to you are destroyed, and
3. You provide us a certain fixate attesting that you have done so