Wild & Scenic Film Festival Community Partner Registration & Payment Form
Your Information
First Name
Please only list yourself.
Middle Name or Initial
Last Name
Email Address
Email Type
Personal
Work
Phone Number
Phone Type
Mobile
Home
Work
Organization or Company Name
Mailing Address
City
State (XX)
Zip Code
Marketing
Please provide Instagram and/or Facebook handle for marketing purposes
Please provide your website for marketing purposes
Please provide your logo for marketing purposes
PNG Preferred
Please provide insurance documents
NEED TO BE RECEIVED NO LATER THAN JULY 31st. Insurance Requirements: $1,000,000 loss/$2,000,000 annual aggregate to include comprehensive general liability and worker's compensation. Coverage shall name as additional insured endorsements: Ventura Land Trust, its agents, officers, directors, employees, and volunteers.
Payment Information
Community Partner Fee
$100 - 1 Booth Space
$150 - 2 Booth Spaces
How would you like to pay?
Credit Card
Check
Credit Card Payment
Payment Amount
$
Pay by Credit Card
Optionally add credit card processing fee?
Yes
No
Processing Fee: $
Charge Amount$
Credit Card Information
Name on Card
Zip Code
Cardholder's Email
Card Number
MM
YY
CVV Code
Check Payment
Please make your check payable to
Ventura Land Trust
.
Mail payments to:
Ventura Land Trust
PO Box 1284
Ventura, CA 93002
Please make your payment by Friday, July 31st, 2026.
Note: processing may take 30 seconds or more.
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