AVI Conference Screening of

"The Power of Hearing: The Story of Daniel Ling"

A Documentary by Tal-El Productions

Friday, June 29, 2001, 1 PM

The Hyatt Regency Hotel Denver

________ Yes, I would like to attend the screening of "The Power of Hearing: The Story of Daniel Ling" (running time appx. 50 minutes) on Friday, June 29, 2001 and enjoy a convenient and delicious box lunch for just $20 per person.  Please reserve ____ seats; I understand that further details will be available at the time of the Conference.

Name of Attendee(s): __________________________________________

 ___________________________________________________________

Payment in full due at the time of placing your reservation.

Payment Method

__ Visa Cardholder Name: _______________________________

__ MasterCard Exp. Date: ________ Credit Card No: ______________

I specifically authorize Auditory-Verbal International, Inc., to charge to my credit card account the amount set forth above.

______________________________________________

Signature

__ Check (make payable to Auditory-Verbal International, Inc.; US banks ONLY)

__ Money Order (U.S. Funds ONLY)

Mail form to: AVI, 2121 Eisenhower Ave., Suite 402, Alexandria, VA 22314 or Fax to: (703) 739-0395 or simply call in your reservation with credit card information to the AVI office at (703) 739-1049.

Thank you and we'll see you "Hear in the Rockies"!