February 2, 2021 by Odyssey Impact® Stranger/Sister Screening License Agreement Screening License Agreement - Stranger/Sister Thank you again for your interest in screening STRANGER/SISTER. Please fill out the form below and click the “Submit” button to generate a screening license contract which will be presented to you onscreen as well as emailed to you as a PDF. Once this is complete, you will see a link to the final step to pay the license screening fee.Name of Licensee* First Last Organization Name* Organization Co-Hosting (If Applicable) Email* Address of Host Organization* Venue/Organization Name Full Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HiddenShipping Address(if screening the film on DVD) Same as Screening Venue Address Full Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Today's Date* MM slash DD slash YYYY Select Your Confirmed Screening License Price*Select Option$50$75$200$250$400$450Pay A Custom Amount*Selecting the “Pay A Custom Amount” is for pre-arranged agreements only.Agreed Upon Amount*Date of Confirmed Screening* MM slash DD slash YYYY Second Confirmed Screening Date MM slash DD slash YYYY HiddenScreening Time : Hours Minutes AM PM AM/PM HiddenPrice of Confirmed Screening*Is this Screening Public or Private?* Open to the Public Private Additional CommentsElectronic Signature of Licensee* 0