“novum per seclum divulgetur Latinitas”

424-229-2276

Name:____________________________________
email: ____________________________________
phone: ____________________________________

Are you a teacher? yes no

If so, where?
School Name:_______________________________
School Address: _________________________________
City & State: ____________________________________
Zip Code :_____________________

DONATION AMOUNT GUIDE

BARNABUS & BELLA. 2010. Musical Comedy. Approx. 1 DONATION: $10.00 Quantity:______
Hour. Boxed set contains DVD with optional English subtitles
and CD with original cast soundtrack and karaoke versions of
the songs for classroom use. Amount:_______
PACIFICA. 2009. 4-episode DVD Boxed Set. Approx. 2 hours. DONATION: $10.00 Quantity:_____
In Latin with English subtitles.
Amount: _____
SHIPPING within the continental US $5.00 $5.00
Support Samohi Latin Media with a donation. Our only source Additional
of income is through donations from Latin film enthusiasts. Donation
We are the only organization currently making high-quality Amount:______
Latin-language films. Please support our future projects!
TOTAL

PLEASE MAKE CHECKS PAYABLE TO "SAMOHI LATIN CLUB"

Mail checks along with this order form to:

Luke Henderson
Latin Teacher
Santa Monica High School
601 Pico Boulevard
Santa Monica, CA 90401

SUMMAS GRATIAS TIBI AGIMUS!



THANK YOU VERY MUCH!