Quote Request Form

Requesting a quote does not commit your organization to booking a film. Submitting this form only entitles you to receive a quote for a potential screening. After receiving a quote from Criterion Pictures, we require a written confirmation in order to proceed with the booking.
Completed by:
Name:

Client Info:
Client number:
Organization name:
Street Address:
City:
State:
Zip Code:
E-mail address:
Phone number:

Billing Info:
Same as above:
Client number:
Organization name:
Street Address:
City:
State:
Zip Code:
E-mail address:
Phone number:

Title Info:
Movie Title:
Screening date:
Charging Admission: Yes No
Format: 35mm DVD VHS I will supply my own copy.
Indoors/Outdoors: Indoor Outdoor
Estimated Attendance Size:
Movie Posters ($5.00 each)
Please specify number required.
Subject to availability.

Any Additional Remarks or Inquiries:


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