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20-136.00 Swank Motion Pictures: Drive-In Movies 2a1 SWANK MOTION PICTURES EXHIBITION REQUEST FORM Contact Information Organization Name: City of Spokane Valley Contact Name: Tina Gregerson Title: Recreation Coordinator Department: Parks and Recreation Organization Phone Number: 509-720-5200 Secondary Phone Number: 509-720-5408 Email Address: tregerson@spokanevalley.org How did you hear about Swank? Previous Swank customer Organization Mailing Address Billing Address: Shipping Address: Spokane Valley Parks and Recreation City of Spokane Valley Spokane Valley Parks and Recreation 2426 N Discovery Place 10210 E. Sprague Ave 2426 N Discovery Place Spokane Valley, WA 99216 Spokane Valley, WA 99206 Spokane Valley, WA 99216 Payment Information Are you PO required? Are you tax exempt? * Name as it appears on the card: OYes 0 No ® Yes O No Card Number: Please select your preferred method of payment: Exp. Date(mo/yyyy) Card billing zip code: OCheck ®Credit Card O One-Time Charge O Save card on file to auto charge future orders Additional Event Details Are you charging admission or suggesting a donation for the event? ®Yes O No If so, how much? Anticipated crowd size: 200-500 people Reason for screening: Community Engagement Location of Screening: ® Indoor 0 Outdoor O Drive-In Screen Size 40 ft Requested Movies Do you need Swank to provide a rental Movie Title Date of DVD or Blu-ray for an additional$30 Name and Address of Screening Location Screening round-trip S&H or will you provide your own? Abominable 8/7/2020 0 DVD OBlu-Ray 0 Own copy Valley Mission Park, 11123 E Mission Ave, Spokane Valley,WA 99206 Raiders of the Lost Ark 8/21/2020 ODVD OBIu Ray 0Own copy Valley Mission Park, 11123 E Mission Ave, Spokane Valley,WA 99206 0 DVD ©Blu-Ray ©Own copy List of Commercial Theaters Located Within 25 Miles of Your Screening Location Are they currently hosting #of Miles From Your Name of Theater drive in movies? Screening Location No Drive-In Movie Theaters within 25 miles of screening location 2 of 2 COVID-19 PANDEMIC SAFETY REQUIREMENTS Is the state in which your screening is taking place currently under any shelter in place,stay at home, isolation or quarantine orders? 0 Yes ©i No Is the city or county in which your screening is taking place currently under any shelter in place, stay at home, isolation or quarantine orders? °Yes ®No If the area in which your screening is taking place is currently under any shelter in place,stay at home, isolation or quarantine orders, are you able to provide written documentation from a government official stating that it is ok to proceed with your planned event? 0 Yes ®No Terms and Conditions Please check the boxes to acknowledge that you have read and accept the terms COVID-19 PANDEMIC RESTRICTIONS-You are fully aware and in compliance of the current shelter in place, stay at home, isolation Qor quarantine orders for your State, County and City in the area and date in which your screening is planned to take place.You are also aware of your local restrictions in regard to essential and non-essential businesses. Swank assumes no responsibility in ensuring the compliance of your organization or screenings as it relates to the state and local shelter in place orders. Cancellations-Notification of a change or cancellation must be given at least 10 business days prior to your event. If an 0 unforeseen circumstance(i.e. inclement weather,equipment malfunction,etc)prevents you from hosting your event you have up to one year in which to reschedule the same movie at no additional licensing fees. Notify your Account Executive the following business day so they can note the last minute cancellation on your account. Please note that the invoice is due at the time of your original show date. Advertising-You are permitted to use the studio approved artwork provided by Swank Motion Pictures. Please note that these images may not be edited or altered and must include the copyright symbol and studio name. We encourage you to inform your Oorganization's members and patrons via on premise posters,emails and private mailings. Advertising through media such as radio, television or newspaper is prohibited. Promotions by means of a lighted sign, billboard or marquee that can reasonably be seen by the general public may not include the name of the movie. If this policy is violated or your screening becomes openly competitive with a commercial theater,your screening(s)maybe cancelled without notice. 0 Moratoriums-It is understood that in rare instances it may be necessary for a Studio, in its sole discretion,to withdraw a movie from exhibition. In the event of a withdrawal you may substitute for an alternate title or cancel the event without obligation to Swank Motion Pictures. QAdmission Charges or Suggested Donations-If you are charging admission for the event,the total cost of the licensing will be quoted rate versus 50%of your ticket sales whichever is greater. You must submit an audience report,including number of tickets sold,ticket price and total box office within 48 hours of your event. OPayment—In most cases payment is due upon receipt of the invoice. However, if you are a new customer prepayment is required on your first three orders and payment must be received in order to validate licensing. * If you are tax exempt please provide a copy of your state tax exemption certificate. Authorized Signature: Printed Name: Tort,� �✓ Date: 7_ 08-2c,2 0 Complete and return to your Account Executive Via fax:314-909-0879 or email: