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Conversation at Order Form

2005-2006 CONVERSATIONS AT THE CARTER CENTER

TICKET ORDER FORM (For The Carters Speak Out ONLY)

Please Note New Policy: Tickets will be issued for the September event only (see below). All other events are open on a first-come, first-seated basis with no tickets or reservations required. Tickets not claimed at Will Call by 6:50 p.m. on Sept. 20 will be released.

By Mail: The Carters Speak Out is $15 per person, paid in advance. Tickets for Emory University employees or Emory students with I.D. are $8. Limit five tickets for this event. Mail your order form to address at bottom of form.

By Phone: Call (404) 420-3804. If you are making a phone reservation for The Carters Speak Out, you must pay by credit card. Leave the same requested credit card information as above.

Enclose your check, money order, or credit card information, as applicable.

___ AMEX ___ MasterCard ___ Visa

Card #: ___________________________ Exp. Date: ______________

Name on card: _____________________________________________

Date

Topic

# Tickets

9/20/05The Carters Speak Out

$15/$8 per person (Limit 5 tickets)



Total Amount Enclosed $_______






Name ________________________________________________________________

Mailing Address _______________________________________________________

City____________________________________State_________________________

Zip Code
_________________

Daytime Phone Number (in the event of a program change)

______________________________________________________

E-mail __________________________________________________

Please mail to:

The Carter Center
Volunteer Office
One Copenhill
453 Freedom Parkway
Atlanta, GA 30307
Attention: Conversations

Please note:
Tickets not claimed at Will Call by 6:50 p.m. on Sept. 20 will be released.