The Legend of Pale Male

www.thelegendofpalemale.com

Public exhibition copy – Order form

Institution:

Please select amongst the following: Theater, School, College, Non profit organization,  

                                                                      Community center, Church, Museum, Library, other (describe)…

Name of organization:

Website:

Shipping Address:

Person in charge:

Phone number:

Email address:

Date of screening:                                 Number of screening(s) :

Number in attendance (estimate):

Exhibition format (dvd or blue ray):

DVD order (minimum 20):

Bulk rate is $10 per dvd

Blue ray (minimum 15):

Bulk rate is $15 per dvd