AUDIO TAPE & DIGEST ORDER FORM

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ORDER FORM FOR AUDIO TAPES & DIGESTS

Selected speeches given over the last ten years are available for purchase either as audio cassettes or written digests. Pre-paid orders only. Tapes and digests will be sent within five (5) business days of ordering.

View Catalog

To order, complete this form and:

1. print and fax with credit card information 213 489.3327

2. print and mail with credit card information or check, made payable to "Town Hall," to:

Town Hall Los Angeles
900 Wilshire Boulevard, Suite 1500
Los Angeles, CA 90017-4716

3. submit on-line with credit card information (Note: Town Hall Los Angeles cannot guarantee the security protection of any credit card information sent on-line)

NAME (Mr/Mrs/Ms):

TITLE:

COMPANY:

BUSINESS ADDRESS:

CITY/STATE:

ZIP CODE:

HOME ADDRESS:

CITY/STATE:

ZIP CODE:

DAYTIME TEL:

EVENING TEL:

FAX:

EMAIL:

SPEAKER NAME:

DATE:

# of tapes @ Member rate of	$10	= $
# of tapes @ Non-Member rate of	$12	= $
# of tapes @ Member rate of	$3	= $
# of tapes @ Non-member rate of	$5	= $
	Total	$

ENCLOSED IS MY CHECK MADE PAYABLE TO "TOWN HALL"
IN THE AMOUNT OF $

PLEASE CHARGE MY VISA / MASTERCARD / AMERICAN EXPRESS
FOR THE AMOUNT OF $

CARD #
--EXP DATE:
NAME ON CARD:

SIGNATURE: