DVD Discount Request Form for Developing and Pacific Island Nations

DVD Discount Request Form for Developing and Pacific Island Nations

Organisations in the DEVELOPING world and Pacific (excluding New Zealand) can apply direct to the filmmakers for special pricing. All other customers should make a purchase using the regular steps.

Your name (required)

Your email (required)

Your phone number

Your country

Are you an:  Organisation Individual

If you are an organisation:

Name of organisation

Address of organisation

Type of organisation
 Educational Non-Governmental Governmental Other

Number of people in organisation

Annual organisationational income if known

Will the DVD be used for screenings in a public venue?
 Yes No

Will the DVD be used for group screenings in someone's home?
 Yes No

If the DVD is used for public or home screenings:

Will the viewers pay to see the film?  Yes No

If yes, how many screenings?

If yes, what is the anticipated audience size?

If yes, please briefly describe what you plan to do with the proceeds from the screenings. We run a Trust for the people of Takuu and can accept payments on behalf of the Council of Elders.

Briefly describe how you will publicise any public or group screening (we can help by letting people know on our website and via social media)