Thank you for your interest in attending a Moms' Night Out movie screening. Please select your desired date/location from the list below to RSVP. You will be added to the event list and receive a confirmation email from the Moms' Night Out team. If you have any questions, please contact Amy@bsmmedia.com. Thank you!

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* 1. Contact Information:

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* 2. Please review the list of dates and cities below to see if you would be available to attend a ‘Mom’s Night Out’ movie screening. If so, please select the screening(s) which you would be interested in attending.

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* 3. Blog URL

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* 4. Tell us about your social media networks:

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* 5. If you participate in any Mom's groups, please include them in the space below.

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