2nd National Advocacy Honor Roll Banquet
Friday, June 24, 2005
Please use this form to purchase a ticket or a full table for your state at the 2nd National Advocacy Honor Roll Banquet. The banquet will be held in on Friday, June 24, 2005, at the Hotel Intercontinental Chicago, Renaissance Room, 7:30 – 10:00 pm, during the ALA Annual Conference.
Individual tickets may be purchased for $75. A full table of 8 may be purchased for $540 (a 10% discount). All attendees will receive a copy of the souvenir program book, and advocacy honorees will receive a special recognition pin.
To purchase individual tickets or a table for this event, please complete the information below and return this form by Friday, June 17, 2005.
I am reserving:
_____ banquet ticket(s) @ $75.00 each
or
_____ full table(s) of 8 @ $540 each
Name: ________________________________________________________________
Address: ______________________________________________________________
City: ____________________ State: __________ Zip Code: ____________________
State Library Agency (if applicable):_________________________________________
PAYMENT METHOD:
My check is enclosed for $__________, payable to the American Library Association
Charge $__________ to my VISA MasterCard American Express
Card Number: __________________________________________ Expiration Date: __________
Signature: ______________________________________________________________________
Please Return To:
ALA/ALTA Honor Roll
50 E. Huron Street
Chicago, IL 60611.
* If paying by credit card, you may fax this form to ALTA at 312-280-3256.