First name*

Last name*

Mailing address (including city, state, ZIP)

Email address*

Alternate email

Phone*
CellLand

Alt phone
CellLand

Proposed name of group* (temporary name for reference is OK)

(Typically, this is something like: “Meaningful Movies in Wallingford”, or “Seattle Meaningful Movies” - containing the words "Meaningful Movies" in some form, plus a city or neighborhood location. We make the name “Meaningful Movies” conditionally available to anyone who complies with our limited use agreement.)

Proposed location of venue* (neighborhood, city, state, and country)

Why do you want to start a Meaningful Movies group?*

How did you become aware of Meaningful Movies?

Have you attended a Meaningful Movies event?
YesNo

If yes, where and when?

What were your impressions?

Thanks and we will be in touch soon.

-The Meaningful Movies Project team

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