ROOM 11 Productions, L.L.C. and LIONESS
Room 11 Productions, 455 Central Park West, #3B, New York, NY 10025
Email: info @lionessthefilm.com Phone 317 373 9311
LIONESS COMMUNITY SCREENING APPLICATION
STEP ONE: Determine your price category.
· If you are a Women Veterans Healthcare Facility or VA Health Center and plan on using the film for small screenings with staff, patients and other healthcare workers, PLEASE CONTACT THE CENTER FOR WOMEN VETERANS.
· If you are a non-profit organization, museum, community organization, corporation, faith-based organization, or grassroots group, and plan on using the film for a public screening, we are offering LIONESS for the reduced price of $199.95. This licenses DVD for use in free screenings for small groups up to 50 people.
· If you are either of the above and plan on using LIONESS for a public screening for up to 150 people, we are able to make the DVD available for $295.95.
STEP TWO: Please take a moment to fill out the following information then email it back to us and we will personally contact you.
CONTACT INFORMATION
(Name) (Phone) (Fax) (Email)
(Organization)
(Street) (City) (State) (Zip)
STEP THREE: Purchase Information and Shipping Method
Check appropriate order:
______Non-profit/museum/community organization/corporation/faith-based org. order - $199.95
______Public Screening for more than 150- $295.95
Are you interested in having a filmmaker at any event or screening you arrange? When would the event take place?
How would you prefer you DVD to be sent?
______United States Postal Service (No Additional Fee)
______Fed Ex (Please provide account number: )
PAYMENT INFORMATION
If paying by credit card, place your order with Paypal. Go to PayPal.com and send your payment to .
If paying by check, please make it out to
Team Lioness LLC
455 Central Park West, #3B
New York, NY 10025.
(DVD will be shipped when payment is received)
Thank you so much for your interest in LIONESS and remember, once you have had the chance to view the film, please visit our website and click on “get involved” page. We want to hear from you!
Lioness: Community Use Screening 10.25.08