Host Organization *

Event Coordinator *

Phone *

Email *

Mailing Address *

City

State

Country

Postal code

Make Ticket Sales Check Payable to: *

Website

Social Media

Screening Location *

Screening Date and Time *

Preffered Ticket Price *

Physical Ticket Sales

Preferred Film Format *

Pay by check/cheque

I will send a cheque for $300 today. The balance of my license fee ($600) will be invoiced and payable at the time of my screening or deducted from my online box office ticket sales. Includes IF4 Swag Pack - A value of $1k+!

I will send a cheque for $900 for full payment of the 2026 license fee today. Includes IF4 Swag Pack - A value of $1k+!

I need the film in DCP format or BluRay disc as selected above (additional $100)

Signature *

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