Organization Name: (*) (The official name that will appear on your licensing agreement and invoice.) Contact Person: First: Last: Contact Email Address: (This is how we'll be in touch with you.) Contact Phone Number: Preferred Date of Screening: (Use this format only: MM/dd/yyyy - If unknown, leave blank.) City and Country where Screening will be: City: Country: -None- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China (People's Republic of) Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Democratic Republic of) Congo (Republic of the) Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City) Honduras Hong Kong (PRC) Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau (PRC) Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Réunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Pierre and Miquelon Saint Vincent and the Grenadines Saint Lucia Samoa San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan (ROC) Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, US Wallis and Futuna Yemen Zambia Zimbabwe
Which language will your screening use for the subtitles?
English (Default) English (Closed-Captioning) Chinese French Hindi Spanish Note: This determines which screening DVD you are sent. All screenings of It's a Girl require the purchase of Public Performance Rights, which grant the screening host copyright permissions to screen the film in a public setting. Please let us know which is the best match for your use of the film. (If these price points do not fit within your budget, please let us know. We will do our best to work within the means you have available!) Select Screening License Standard Student-Led House Party Local Theater Through Tugg India Details about the license types and costs: Single Screening License – Standard Institution Fee: $199 Single Screening License – Student-Led Screening discount: $155 Single Screening License – House Party (up to 20 people in your home): $60 Screening at your local theater - NO COST! As the host, you will pre-sell tickets to meet the minimum by the event deadline, through our partner Tugg. Learn more here or email us. (Only available in the U.S.) Screening in India - Special Discount Offered. Contact us for details. Please Select a Payment Method: -None- I will pay via Check I will pay via PayPal / Credit Card (We will send you an invoice and will need your payment processed before sending you the DVD.)
Are you interested in inviting one of the filmmakers or an expert featured in the film to speak at your screening?:
No Yes (Host must cover travel, hotel and honorarium) Please select a Shipping Method: -None- Standard Shipping within the US (4 business days): $8 Expedited Shipping within the US (1-2 business days): $30 International Shipping: Varies by Location Shipping Address (This is where we will send your DVD and screening materials. Please list your full mailing address, including street and house number, city/town, postal code and country.)