Planet in Focus Cross Canada Tour 2008 Application Form

Thank you for your interest in Planet in Focus! To better assess how we can partner with you and your organization, please take a few moments to fill out the following questions.

Once it’s filled out, please send it to Myan Marcen-Gaudaur, the Archivist and Educational Outreach Officer at myan@planetinfocus.org. She will get back to you shortly! We look forward to working with you in bring Planet in Focus to your community!

Name: *

Organization: *

Email Address: *

Full Mailing Address: *

Briefly describe the event::

Briefly describe the event you are planning and how you’d like Planet in Focus to be involved:

Please indicate the city, province/state and country of event (if different from above)::

What environmental themes are you most interested in?:

How many films are you considering? :

What are the dates of your event? :

Is this tentative or confirmed? :

What venue do you intend to use? :

What is the capacity? :

Would you be interested in having representatives to be present at your event*? (Additional Charges will Apply):

Mailing List

Planet in Focus keeps in regular contact with its partners and audiences. They are always the first to receive important news flashes and event updates… would you like to be added to our electronic mailing list for these purposes?

What code is in the image?: *

Copy the characters (respecting upper/lower case) from the image.