wbjb-request-form

"Who Bombed Judi Bari?" - Screening Request Form

* indicates required fields

*Your Name

*Address

*City, State, Zip

*Best Phone

Other Phone

*Email

*Dates Interested In:

Possible Venues / Address / Capacity

Please describe screening and sound equipment. Is a DVD player, a projector capable of 16:9 ratio (wide screen), a screen and sound system available?

Screening and Sound Equipment

Sponsoring Organizations (if any)

How much would you charge at the door ($10 sliding scale is typical)

Additional Comments / Notes