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"!
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