Edens Lost & Found - Outreach Partners Application

Outreach Partners Application

Name of organization
Street:
City:
State:
Zip Code:
Phone number:
Contact person:
Website address:
Email address:
Outreach interest:
Membership size, country-wide and by State:
Number of local chapters, by State:
How you believe your organization can become involved in national and community outreach?
How can your organization(s) help to promote our PBS project?
Is your organization interested in taking advantage of bulk rates to order books and DVD sets of Edens Lost & Found for your membership?	Yes Maybe No
Is your organization interested in benefit screenings of Edens Lost & Found?	Yes Maybe No
Is your organization willing to help organize a local/regional town hall meeting that would offer solutions to the PBS audience you reach?	Yes Maybe No

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