The Ordinance Screening Request Form - United Way of Central Texas

To show a free screening of The Ordinance, please submit the following request form.

Company/Business/Organization Name*

First Name*

Last Name

Phone Number*

Email Address*

Address 1*

Please enter the location where the screening will take place.

Address 2

City*

State*

Zip*

Please enter the date and time you would like to host the screening.*

Please enter the number of people expected at the screening.*

Please enter any questions, comments, or concerns you may have.

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