Register to host a screening of Mary Meets Mohammad Thank you for your interest in hosting a screening of Mary Meets Mohammad. Please register here if you are hosting: A public Free Entry Screening with no licence fee A Fundraiser Screening and want to sell tickets A Conference or Corporate screening where we will negotiate a licence fee Enter your organisation, venue details and screening date into this form. There are 4 short pages of questions. Step 1 of 4 25% Name of organiser*Name of organisation*Enter "individual" if no organisationMailing address*Town/Suburb*Postcode*Country*State*Australian State*Please select...VictoriaTasmaniaNew South WalesQueenslandSouth AustraliaWestern AustraliaACTNorthern TerritoryEmail address* Venue*What is the venue for you community screening?Seating capacity*What is the approximate seating capacity of the venue?Venue address*Venue town/suburb*Venue postcode*Venue country*Venue state*Venue Australian state*Please select...VictoriaTasmaniaNew South WalesQueenslandSouth AustraliaWestern AustraliaACTNorthern Territory Screening date*What date would you like to host the screening? Please note a lead time of 4 to 6 weeks minimum is recommended for larger community screenings to allow time for effective promotion and publicity.Screening time*Screening enquiry contact*Please provide an email address and/or contact phone number which can be used to direct enquiries about your screeningOnline ticket-bookingPlease provide the online ticket booking link for your event, if you have one.Web & Facebook for your eventWould you like us to list your event on our website and mention it on the Mary Meets Mohammad Facebook page as we post new screenings that are coming up? If so, please provide a summary of your event which we can cut and paste. For example: ORANGEVILLE Thu 15th Feb 2014 at 7pm. Orangeville Town Hall, 65 Bourke St, Orangeville. Hosted by the Orangeville Multicultural Society [OMS]. Tickets $12 Adults, $10 children & conc. Fundraiser for OMS. Enquiries ph:9999 8888 or Email: firstname.lastname@example.org Online ticket booking link: ___________________ Expected attendance*How many people do you think will attend the screening?Will the screening be free?*YesNoTicket pricing for Adults, Children & Concession*If you intend to sell tickets at what cost would the tickets be for Adults, Children and Concession? Where will any funds raised be used or donated?*If your fundraiser screening is approved, 70% of your gross tickets sales will be paid to your organisation or cause and 30% to Waratah Films as a screening licence fee. A screening licence defining this agreement will be emailed to you when your screening is approved and this will require your signature. An invoice will be sent to you after your screening when ticket sale returns have been determined. Do you require a higher quality E Cinema mpeg or DCP file?If you require a higher quality DCP file or an E Cinema mpeg file, suitable for cinema, could you please indicate here and specify which particular format is needed. Do you have any further questions?Enter anti-spam code This iframe contains the logic required to handle Ajax powered Gravity Forms.