GIVE THE GIFT OF FILM

Donation Amount*
  • $20 FOR 20 YEARS OF FILM! (+ your name on the big screen)
  • $50 - your name listed on Socrates website + on the big screen
  • $100 - all the above, plus two VIP seats during film of your choice
  • $500 - all the above, two VIP seats for eight screenings
  • Other $

PAYMENT INFORMATION

Amount*
$
Name on Card*
Card Number*

CONTACT INFORMATION

Email*
Confirm Email*
Phone*
Country*
State / Province*
Address*
City*
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Additional Comments

SECURITY CODE