1. Parties

Film Club Name:

University Name:

Representative Name:

Contact Email:

2. Screening Details

Film Title:

Director:

Screening Date:

Screening Time:

Screening Venue:

This agreement permits a single screening of the film listed above by the University Film Club.
The screening must not be open to the general public unless otherwise agreed by all parties.
No admission fee may be charged without prior written permission.
The film will not be recorded, reproduced, or distributed in any form.
All promotional materials must credit the filmmaker as provided.
Any additional terms:

This agreement is valid only for the date and location specified above and may not be transferred or used for any other screening.

Film Club Representative Signature

Date

Film Rights Holder/Distributor Signature

Date