EmailMe Form - REEL CANADA Screening Request

Need help selecting films from the catalogues? Please contact REEL CANADA at contactus@reelcanada.ca or 1.855.733.5709 before submitting your requests through this form.

Requesting Library *

Library Designation Code (e.g. AEPNL) *

Event Organizer *

First Last

Event Organizer's Email *

Daytime Phone *

### - ### - ####

*

I understand I should submit my request 6 weeks in advance of the anticipated screening date.

*

I understand I am responsible for mailing DVDs back to REEL CANADA as soon as the screening is over.

*

I understand my library is responsible for any applicable screening fees, and we will receive a bill from NLLS to cover them.

*

I understand there is a $25 deposit for each DVD, which will be billed to my library by NLLS in the event a DVD is not returned to REEL CANADA.

*

I understand I should submit a guest headcount to NLLS at https://bit.ly/2MMjubU

Library's Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

The DVDs will be sent directly to your branch from REEL CANADA.

Library's Criterion Performance Licence Number

If your library has its own up-to-date CRITERION Performance Licence Number, you may not have to pay any screening fees, depending on the title.

Notes from conversation with REEL CANADA representative (optional).

Please include any important information relevant to your discussion with REEL CANADA.

Venue *

Number of Guests Anticipated *

Date of Screening *

MM / DD / YYYY

Time of First Screening *

HH : MM AM/PM

Screening on Multiple Days

If you are planning to have screenings over multiple days, please indicate additional dates and times in the above field.

Title of Film 1 *

Title of Film 2

Title of Film 3

Title of Film 4

Title of Film 5

Title of Film 6

Are you requesting materials from the Indigenous Film Programme? *

Yes

No

Some

If screening Indigenous titles, please be certain to fill in the paper survey included when you received the DVDs and return the info to REEL CANADA.

Do you want links to download related programming materials? *

Yes

No

Programming materials are free, and may be printed out for use.

Suitable for high-school students and adults.

Are you charging admission? *

Yes (please indicate what the admission will cover in the field below)

No

Accepting Donations (please indicate the cause in the field below)

Admission charged because: