Screening Application Form

Thank you for your application for the screening of "Planet of Love : Message from the Universe".
After receiving your application e-mail, we will confirm the schedule and send you an e-mail. After receiving the confirmation, please pay the screening fee to officially confirm your reservation.
・The screening fee must be paid in advance. Please make your payment within one week after receiving the e-mail.
・If you do not receive a reply within a few days, please check your spam folder.

Have you ever watched the movie " Planet of Love : Message from the Universe " ?
If Yes
Please tell us about the films you have seen
What made you think of the independent screening ? And do you have any thoughts about the film?
Which film you would like to screen ?
Message
Name of Representative Organizer
Applicant Contact Email Address
We will contact you by e-mail. Since verbal communication by phone or other means could cause misunderstanding, we’d like to communicate with you in a manner traceable.

Telephone number of the representative organizer
We usually contact you by e-mail, but we may call you in case of emergency.

Applicant Contact Address
Name of organization/company to which applicant belongs
Organizer's website
Name of Co-Organizer
Telephone number of Co-Organizer
Type of Screening
General public screenings (we support you to publicize the event on our official website, etc.) Up to two consecutive days of screenings are possible.
Closed Screening (We do not announce on the official website, etc.): Only one day screening is possible. *Please be sure to inform the distribution office of the details of the screening, even in the case of a closed screening.
 

Desired screening date
The screening date shall be set at least one month ahead of the date of application.
I would like to invite the director of MIKI.
Please contact the distribution office for information on performance fees.

Preferred Screening Date Remarks
Name of the screening venue you are planning to use
Please indicate which facility you plan to use in the venue.

Address of screening venue or URL
Screening Media Type
Standard version 90 min
DVD will be sent on a cash on delivery basis.

Do you need DVD ?
Would you like us to deliver the screening media to the applicant's address? 

If no
 Please provide the name, address and phone number of the person who receive the screening media.
f the delivery address is different from the organizer's address, please be sure to fill in this information.
To ensure delivery, please include the name of the person in charge of the delivery address and the name of the company if it is an organization or a company.

Name
Name of the sponsoring organization or individual
If you have any questions or messages, please let us know.