Host a Screening Form | Inside Islam

HOST A SCREENING

Completing this sign-up form is the first step you should take once you've decided to host a screening of Inside Islam for your organization.

NOTE: Your information will not be shared with any other organization.

First Name: *

Last Name: *

Email: *

Event Name: *

Organization:

Phone: *

Date You Will Be Conducting the Dialogue: *

Are you hosting a Dialogue Party or Living Room Dialogue?: *

Film you would like to receive: *

Expected Number of Participants: *

Do you plan on conducting multiple dialogues?: *

Are you conducting this dialogue with or through a 20,000 Dialogues partner?: *

Shipping information: Let 20,000 Dialogues know where to send your film.

Address: *

City: *

State: *

Zip Code: *

I verify that:

At least 5 participants: *

My dialogue group will have at least five participants and that I have made an effort to have participants who are of different faiths, including Muslims, take part. *

Will Complete Evaluation: *

I will complete the evaluation and have the other participants do so as well. *

How did you find out about 20,000 Dialogues: *

List my name and email:

I would like to list my name and email for others in my area to contact me about joining my dialogue.

HOST A SCREENING

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