| ____Friend ($25-49) Subscription to Black Camera |
| ____Supporting Friend ($50-99) Black Film Facts Notepad and BFC/A Ball-point Pen |
| ____Sustaining Friend ($100-999) Video sample of early black images and V.I.P. Invitations to BFC/A events |
| ____Life Membership ($1000 and above) Video sample of early black images and V.I.P. Invitations to BFC/A events, and framed certificate |
| ____Institutional/Corporate ($500-5000) Video sample of early black images and V.I.P. Invitations to BFC/A events, and framed certificate |
| ____Student Friend ($15 or more) Subscription to Black Camera |
MAKE CHECK PAYABLE TO: I.U. Foundation - c/o BFC/A
Enclosed is my check for $_________.
PLEASE PRINT ORDER FORM AND MAIL TO:
Black Film Center/Archive
Smith Research Center, 180
2805 East Tenth Street
Indiana University
Bloomington, IN 47408