<p align="center"><img src="" alt="the land of refuge" width="440" height="600" /></p>
<p align="center">Reserve your tickets for the <br />
  exclusive screening
  of<br />
The Mormon Colonies in Mexico Documentary</STRONG></p>
<form id="form1" name="form1" action="" method="POST" subjet="Press Send to Reserve for THE LAND OF REFUGE" onsubmit="thanks.html"> If you would like to attend the 7:00pm screening of <strong>THE LAND OF REFUGE</strong> at the Harkins Theater at Superstition Springs Harkins, Mesa, on the 29th of November please provide the following information.<br /><br />
  <label>Name(s): <input name="Name" type="text" id="Name" size="50" /></label><br />
  <label>Contact Email: <input name="Email" type="text" id="Email" size="30" /></label><br />
  <label>Contact Telephone: <input type="text" name="Phone" id="Phone" /></label><br />
  <label>Number of Tickets: <input name="Number" type="text" id="Number" size="10" /></label><br /><br />
   <label>What is your connection to the film (choose answer that best applies)?<br /></label>
    <label><input type="radio" name="Role" value="born" id="Role_0" />Born in the Colonies</label><br />
    <label><input type="radio" name="Role" value="related" id="Role_1" />Relatives in Colonies</label><br />
    <label><input type="radio" name="Role" value="cast" id="Role_2" />Cast of Film</label><br />
    <label><input type="radio" name="Role" value="crew" id="Role_3" />Crew of Film</label><br />
    <label><input type="radio" name="Role" value="supporter" id="Role_4" />Supporter of Film</label><br />
    <label><input type="radio" name="Role" value="media" id="Role_5" />Member of Media</label><br />
    <label><input type="radio" name="Role" value="radio" id="Role_6" />Other</label><br />
    <input type="submit" name="Press SEND EMAIL" id="Press SEND EMAIL" value="Submit" /><br /><br />

When you push the SUBMIT button an EMAIL MESSAGE will pop up. Please push SEND to get your information to us. We will contact you via email or telephone within 24 hours. We look forward to seeing you at the screening!

Posted in Film Production, Mormon Colonies, Random.