SCREENING ENQUIRY FORM

This screening enquiry form is for indoor, outdoor and special screening requests, by existing Single Title Screening
Licenceaccount holders only. If you wish to set up an STSL account, please apply at

*All fields below are mandatory

YOUR NAME
ORGANISATION NAME
TELEPHONE
EMAIL ADDRESS
STSL ACCOUNT REFERENCE NO.
WEBSITE ADDRESS

SCREENING INFORMATION

IS YOUR SCREENING INDOORS, OUTDOORS OR A DRIVE-IN?
FULL POSTAL ADDRESS LOCATION OF THE SCREENING
WHAT FORMAT DO YOU PLAN TO SCREEN ON: DVD/BLU-RAY?
DO YOU HAVE THE FACILITY TO SCREEN ON DCP/35mm?
SCREEN SIZE
(LENGTH VS. WIDTH IN METRES OR FEET)
LEGAL HOLDING CAPACITY OF SCREENING ROOM/ SPACE?
OUTDOOR SCREENINGS - (FOR REFERENCE SEE YOUR COUNCIL’S EVENTS NOTICE. FOR DRIVE-INS, PLEASE STATE MAXIMUM NUMBER OF CARS)
ARE YOU CHARGING AN
ADMISSION FEE?
IF CHARGING AN ADMISSION FEE, PLEASE STATE TICKET PRICE - (INCLUDE ALL TICKETS e.g. ADULT,CHILD ETC)
PLEASE PROVIDE A FULL DETAILED SUMMARY OF THE PURPOSE OF THE SCREENING AND WHAT’S INVOLVED.
*Please include any activities relating to the film’s brand and characters

ADVERTISING AND ADDITIONAL INFORMATION

ARE YOU ADVERTISING YOUR SCREENING?
IF YES, PLEASE STATE e.g. SOCIAL MEDIA, NEWSLETTER ETC.
PLEASE STATE THE ORGANISATION(S) TAKING RESPONSIBILITY FOR ALL COMMUNICATION AND PUBLICITY IN RELATION TO THE EVENT
WILL THERE BE ANY BRANDING, 3RD PARTY PROMOTIONS,
SPONSORSHIP OR PROMOTIONAL ACTIVITY IN RELATION TO YOUR SCREENING, EVEN IF NOT
DIRECTLY RELATED TO THE FILM?
IF YES, PLEASE LIST ALL PARTIES INVOLVED
DO YOU PLAN TO RUN THE FILM IN ITS
ENTIRETY?
WILL THE SCREENING INVOLVE ANY AUDIENCE PARTICIPATION? (e.g. SING-ALONG OR
INTERACTIVE ELEMENTS)
WILL THE SCREENING INVOLVE ANY LIVE
DRAMATIC PERFORMANCE?
WILL THE SCREENING INVOLVE ANY THEMING OR THEMED ELEMENTS?
WILL THE SCREENING INVOLVE ANY SPECIAL EFFECTS?

FILM SELECTION AND SCREENING DATES

Please ensure your selected film features within the Filmbankmedia film library.

FILM 1
FILM TITLE / SCREENINGS DATE(S)
NO. OF SCREENINGS / FORMAT
(Supplied DVD or Own Copy Use)
FILM 2
FILM TITLE / SCREENINGS DATE(S)
NO. OF SCREENINGS / FORMAT
FILM 3
FILM TITLE / SCREENINGS DATE(S)
NO. OF SCREENINGS / FORMAT
FILM 4
FILM TITLE / SCREENINGS DATE(S)
NO. OF SCREENINGS / FORMAT
FILM 5
FILM TITLE / SCREENINGS DATE(S)
NO. OF SCREENINGS / FORMAT
FILM 6
FILM TITLE / SCREENINGS DATE(S)
NO. OF SCREENINGS / FORMAT