2009 ALA Midwinter Meeting Ticket Order Form

Advanced ticket price of $35 ($30 for FOLUSA or ALTA members) valid through January 21, 2009. All tickets purchased online, by phone, or at the FOLUSA booth after January 21, 2009 will be $45.. All tickets purchased online, by phone, at booth 614, or at the door are $45.

To pay online using Visa, Mastercard, Discover, or American Express, fill out the form and click the button to send the information and pay via a secure server.

To pay by check, fill out the form, print, and mail with your check, payable to FOLUSA.

Friends of Libraries U.S.A.
109 S. 13th Street Suite 3-N
Philadelphia, PA 19107

To order by telephone using Visa, Mastercard, Discover, or American Express, call 1-800-936-5872.

First Name		Last Name
Mailing Address
City		State Zip code
Country
Telephone		FAX
Email
I will purchase the following: Non-member Tickets for FOLUSA-ALTA Gala Author Tea, January 26, 2009, 2:00-4:00 p.m. at $35 each FOLUSA or ALTA Member Tickets for FOLUSA-ALTA Gala Author Tea, January 26, 2009, 2:00-4:00 p.m. at $30 each Payment Options I enclose my check in the amount of $ I will pay $ by credit card.