Be a Friend of the BFC/A

(check off desired category)

• Friend ($25-49)
• Supporting Friend ($50-99)
• Sustaining Friend ($100-999)
• Life Membership ($1000 and above)
• Institutional/Corporate ($500-5000)
• Student Friend ($15 or more)

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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