2011-2012 Order Form
Please enclose the appropriate payment and make the check payable to "APSL". Print or type all information.
List all names of initiates on a seperate sheet. All certificates are sent Priority Mail.
SEND TO:
NATIONAL LATIN HONOR SOCIETY
Elizabeth Bradford, Director
5821 Williamsburg Way
Durham, NC 27713
Ceremony Date: Sponsor:
Sponsor Signature: E-mail:
School:
Charter Number: Date issued:
Street:
City: State: Zip Code:
Home Phone: School Phone: Ext:
REQUIREMENT
Each inductee must maintain an average of 90% or higher in three consecutive quarters of Latin.
PRODUCTS
School Charter Certificate: $15.00 each (lifetime membership)
Testamur Certificates: School Charter ($4.50 each); No School Charter ($5.00 each)
3/4" APSL Pin: School Charter ($4.50 each); No School Charter ($5.00 each)
Latin Alive Playlets: $5.00 each
501 Tidbits of Roman Antiquity: $10.00 each
PLAYLETS
Circle the number for the collection of playlets you wish to order:
1. Aeger Marcus et Piratae (Sick Marcus and The Pirates); Gladius Damoclis (The Sword of Damocles);
Nigrum Fit Album (Black becomes White); Prodigium (The Omen)
2. Felix Postumius (Lucky Postumius); Larva (The Ghost); Parva Vestalis (The Little Vestal Virgin); Piratae (The Pirates)
3. Astrum (The Star); Cloelia Natat (Cloelia Swims); Fabae (Beans); Magicae Herbae (The Remarkable Herbs)
4. Cliens Diligens (The Diligent Client); Coniuratio (Conspiracy); Margaritae (The Pearls);
Pharmacueutria (She Who Uses Charms)
5. Magica Vestis (The Magical Cloak); Pietas (Dutifulness); Thesaurus (The Treasure);
Officium Stellae (A 12th century Liturigical Playlet for Christmas)
ORDERS
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Description
School Charter
Testamur Certifcates
APSL Pins
Playlets
501 Tidbits
| Quantity Unit Price
________ X $15.00 =
________ X $4.50 / $5.00 =
________ X $4.50 / $5.00 =
________ X $5.00 =
________ X $10.00 =
Shipping & Handling
Overnight Mail (+$15.00)
Total Amount Enclosed
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Total
$________
$________
$________
$________
$________
$ 5.00
$________
$________
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We look forward to hearing from you and appreciate your business.
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