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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 films 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
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