General Information

Contact Person

Screening Information

Marketing Information

Size of audience

Legally binding terms and conditions of this License Agreement

Your Base Fee is determined from the minimum number of people attending in the box you checked above. In addition to your Base Fee you agree to submit, within seven (7) days of the screening, an Attendance Affidavit and one dollar ($1.00) for each person in excess of the number in the box you checked (the “Excess Fee”).

If you are selling tickets to the screening the total fee is the greater of (a) the sum of the Base Fee plus the Excess Fee, or (b) the sum of $136.00 plus 30% of ticket sales.

The organization first set forth above on this Request a Screening Form and License Agreement, (hereinafter “LICENSEE”) hereby expressly agrees that the film A Journey into the Holocaust (“The FILM”) shall be used only for the permitted purposes as set forth in this AGREEMENT and for no other purpose.

LICENSEE agrees that it shall not permit the FILM to be duplicated, shown, sold, loaned, transferred, televised or made available online to download or view or to any other party not contained herein at any time or in any manner other than as provided for in this AGREEMENT. Please note that Licenses do not include a copy of the FILM. You may purchase the FILM at www.ajourneyintotheholocaust.com/store/.

With respect to the License granted hereunder, it is expressly understood and acknowledged by the LICENSEE that any rights, title, or interest that the LICENSOR maintains with respect to the FILM are expressly reserved by the LICENSOR. Any additional screening(s) require(s) an additional license and fees.

This AGREEMENT constitutes the entire understanding of the parties with respect to the subject matter hereof, and any amendments, changes, or modifications shall have legal effect and be binding only if made in writing and signed by both parties.

This license is effective upon our receipt of your Base Fee (the Base Fee is computed on our website).

I, {Name (First):11.3} {Name (Last):11.6} {Title::12}, an authorized signatory of the LICENSEE, hereby agree and consent to the above terms and conditions in return for the license you are issuing to our organization to screen the Film at the above listed venue.

Please review your information before submission