Interest Form

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Name *

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Last

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Under the age of 18 Over the age of 18

Email *

Phone Number *

How do you prefer to be contacted? *

E-Mail Phone

What time works best for you? (Select all that apply)

Are you willing to watch the movie outside of a group setting? *

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Are you willing to re-watch a movie you have already seen after you have read the book? *

Yes No

Are you willing to watch the movie if you didn't like the book? *

Yes No

Which of the following books would you most likely choose for yourself? (Select all that apply) *

“Rita Hayworth and the Shawshank Redemption” by Stephen King (Drama) "Pride and Predjudice" by Jane Austin (Romance) "The Devil Wears Prada" by Lauren Weisberger (Comedy) “The Godfather” by Mario Puzo (Action) “Jurassic Park” by Michael Crichton (Science Fiction) “American Psycho” by Bret Easton Ellis (Horror) “Girl, Interrupted” by Susanne Kaysen (Non-Fiction)

Would you be willing to read books outside of the genres you've chosen? *

Yes No

Is there any genre you refuse to read or watch? *

Comments *

Thank you for your time and interest!!!!
If this program gets approved you will be contacted by your preferred method