Negro: A Docu-series about Latino Identity DVD order form

1. Name

Name

2. Address

Address

3. E-mail address

E-mail address

4. How many copies of the 'Negro: A docu-series about Latino Identity' DVD - Edition 1 (120 min runtime) would you like to order?
*HOME USE ONLY $25
This DVD is licensed for home use only. Use by educational institutions, libraries, government entities or
screenings is strictly prohibited.
Higher Education Institutions $395
K-12, Public Libraries & Select Groups $195
Special Pricing for those who wish to purchase the whole series

How many copies of the 'Negro: A docu-series about Latino Identity' DVD - Edition 1 (120 min runtime) would you like to order? *HOME USE ONLY $25 This DVD is licensed for home use only. Use by educational institutions, libraries, government entities or screenings is strictly prohibited. Higher Education Institutions $395 K-12, Public Libraries & Select Groups $195 Special Pricing for those who wish to purchase the whole series

5. How did you hear about 'Negro: A Docu-series about Latino Identity'?

How did you hear about 'Negro: A Docu-series about Latino Identity'?

6. May we add you to the 'Negro: A docu-series about Latino Identity' mailing list?

May we add you to the 'Negro: A docu-series about Latino Identity' mailing list?