2012 Subscription Ticket Order Form
* required information
First Name*
Last Name*
Address*
City*   State*      Zip*
Email
Phone
Sarasota Program   
Mon: Music Mondays Sold Out
Tue: Global Issues Series I x $75
Wed: Global Issues Series II Sold Out
Thu: Global Issues Series III Sold Out
Venice Program   
Mon: Music Mondays x $75
Tue: Global Issues Series I x $75
Fri: Global Issues Series II x $75
All above series are 12 lectures
Seminars
Jan 12 Dr. Jerrold Post x $30
Jan 26 Dr. Marvin Weinbaum x $30
Feb 1 Dr. Jorge Dominguez x $30
Feb 9 Martin Walker x $30
Feb 15 Molly Williamson x $30
Feb 16 Dr. Theodore Marmor x $30
Feb 23 Dr. Allan Friedman x $30
Mar 8 Dr. Jerry Pubantz x $30
Mar 22 Amb. Stapleton Roy x $30
Ticket Total  
Friends of SILL (tax deductable contribution)
Total Amount Enclosed    


Complete this form and mail it with your check payable to SILL. If you want your tickets mailed to you at a local address, please include a stamped, self addressed envelope to:

        SILL Registrar
        Box 219
        8499 S Tamiami Trail
        Sarasota, FL 34238


The tickets will be mailed on the first week of December. Otherwise, you can pick up your tickets at the Registrar's table at the first lecture that you attend.