Home
About the Film
Alcoholism
Memory
Death and Dying
Family History
Dialogue
Conclusion
Copyright © 2022 Trish Williams
Submit Your Comments About Losing Tom PART A (I am interested in posting comments from this section on my Web site unless you say otherwise at the bottom of this form) Your Name City State Country E-mail Address (please note I cannot reply back unless you provide an email address) Please Identify yourself I am: from the general public and saw the film a web site visitor only colleague a friend of the family a friend of Trish relative of the family other (please identify) Subject of Your Message : Message PART B (The part is optional, but allows you to give input for the Web site and for uses of the film.) Please indicate whether you have: Watched the film Not watched the film Would you be interested in seeing the film or notifying a friend for future screenings? Yes, please e-mail me regarding any future film screenings. No Please feel free to recommend any future uses of this film for any purposes or groups you think it might benefit: I would like to recommend a related Web site to add to the related links page OR a book to add to the suggested reading list. Please indicate recommendation below (Optional) Recommended Web site (give name of site and URL): Recommended book (give full title, author, publisher, place and date of publication: PART C - Permission By submitting your e-mail, you grant the recipient the right to post all of the above information online as part of this Web site unless you specify otherwise: I do not want my name posted. I do not want my city and state posted. I do not want any of my comments posted. (click here to clear your comments and start again.) Send your message! return to homepage
Submit Your Comments About Losing Tom
PART A (I am interested in posting comments from this section on my Web site unless you say otherwise at the bottom of this form)
Message
PART B (The part is optional, but allows you to give input for the Web site and for uses of the film.)
Please feel free to recommend any future uses of this film for any purposes or groups you think it might benefit:
I would like to recommend a related Web site to add to the related links page OR a book to add to the suggested reading list. Please indicate recommendation below (Optional)
Recommended Web site (give name of site and URL): Recommended book (give full title, author, publisher, place and date of publication:
PART C - Permission
By submitting your e-mail, you grant the recipient the right to post all of the above information online as part of this Web site unless you specify otherwise: I do not want my name posted. I do not want my city and state posted. I do not want any of my comments posted.
(click here to clear your comments and start again.) Send your message!
(click here to clear your comments and start again.)
Send your message!
return to homepage