2025 TROUT TOUR SCREENING APPLICATION ($500)

2025 Trout Tour Screening Application

Hosting Organization*

Event Coordinator*

First NameLast Name

Cell Number*

Area CodePhone Number

E-mail*

Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Organization Website

Organization Social Handles

Facebook, Instagram

Live Event Location*

Venue Name, Address, City & State/Province

Live Event Date & Time*

(TBA if undecided)

List Any Venue Age Restrictions

Ticket Prices*

Advance & Door Prices (TBA if undecided)

Locations where physical tickets can be purchased

Screening License Fee*

I prefer to pay the full license fee now!$500.00

A $2 service fee will be added to the ticket price in the online box office and retained by IF4. Box office and Stripe fees will be added to the ticket price and remitted accordingly. All fees are payable by the ticket purchaser.

Payment by check/cheque$ Free

Please mail your full payment ($500), payable to Fly Fusion Ltd (111, 7 Avenue S, Suite A Cranbrook, BC V1C 2J3) A $2 service fee will be added to the ticket price in the online box office and retained by IF4. Box office and Stripe fees will be added to the ticket price and remitted accordingly. All fees are payable by the ticket purchaser.

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Signature*

By signing above, I acknowledge that I have the right to act on behalf of the hosting organization listed above.