In God's House - DVD order form

In God's House DVD Order Form - Print and Mail

If you prefer, you may also download this form in PDF format.

Number of DVDs requested: ________
Suggested donation per DVD is USD $35.
Total enclosed: $______________

Ship to:
Name:
Address:
City, ST, Zip:
Email:
Telephone:

Make check payable to "PANA/PSR".
Send to:
PANA Institute
1798 Scenic Ave
Berkeley, CA 94709

Or, use credit card form below.

Please charge my credit card:
Card type: ___MC ___ VISA ___ AmEx
Amount: $ ________
Card number: ______ - ______ - ______ - ______
Exp. date: ____ / ____

Card billing address (if different than shipping):
Name:
Address:
City, ST, Zip:

Pricing:
The DVD is available for a requested donation of USD $35. If you can give more, please do. The money will be used to support further distribution of the film. If cost is a barrier, please offer to pay what you can. We want this film to be seen, and will give consideration for religious, educational, or low-income use.

Please tell us how you plan to use it:
We would love to know how to plan to use the DVD, how your viewing event went, and what responses you and your audience had to the film. We will pass your stories on to the people who worked on or in the film to let them know their voices are being heard. Also, if your experience leads to suggestions about changes to the Discussion Guide or other aspects of the film’s distribution, we would love to hear them.

Your donation
You donation is to the PANA Institute's project on Civil Liberty and Faith, to support the further distribution of the In God's House film. "Civil liberty is individual and communal liberty embodied through social equality, economic justice and freedom of religion. The PANA Institute's project on Civil Liberty and Faith promotes and amplifies the voices of Asian American and Pacific Islander religious leaders and communities working to increase civil liberty by bringing greater inter-religious and inter-ethnic understanding to America's public discourse."

Contact:
PANA Institute
1798 Scenic Ave
Berkeley, CA 94709
510-849-8244
pana@psr.edu
pana.psr.edu
www.ingodshouse.com