Distinguished Speaker Series Order Form

h t t p : / / w w w . s p e a k e r s l a . c o m

Please review options in right hand column before proceeding.
To pay by CHECK, please print, fill out and mail this form to the address located at the bottom of this page.

To view a seating chart for Pasadena Civic Arts Center please click here.

To view a seating chart for Fred Kavli Theatre at Thousand Oaks please click here.

To view a seating chart for the Redondo Beach Performing Arts Center please click here.

Options Selection

I would like to subscribe for series held at:
Redondo Beach Performing Arts Center
Pasadena Civic Arts Plaza
Fred Kavil Theatre Thousand Oaks

I would like Series Option I (All 8 Speakers)

I would like Series Option II (Create Your Own Series of 4)
(Limited seats available for each performance)

Create Your Own Series (PASADENA):
(FOR SERIES OPTION II ONLY: please type or write in the name of the speakers in the boxes provided below.)

Create Your Own Series (THOUSAND OAKS):
(FOR SERIES OPTION II ONLY: Please type or write in the name of the speakers in the boxes provided below.)

Create Your Own Series (REDONDO BEACH):
DISCONTINUED: No longer available in Redondo Beach.

Subscription Prices

PASADENA
If you selected Pasadena as your option, please fill out the following:

PASADENA SERIES
Series Option I (All 8 Speakers)
Section AA (Reserved) $300 x quantity
Section BB (Reserved) $250 X quantity

Series Option II (Select 4 Speakers)
Section A (Reserved) $175 X quantity
Section B (Reserved) $140 X quantity

PLEASE ADD A HANDLING CHARGE OF: $5.00

Total Due:
Please multiply quantity and amount then add $5.00 for handling. Example: Option I, Section A $300 X 2 quantity= $600.00 + 5.00=$605.00.

THOUSAND OAKS
If you selected Thousand Oaks as your option, please fill out the following:

Series Option I (All 8 Speakers)
Section A (Reserved Seats) $300 X quantity
Section B (Open) $250 X quantity

Series Option II (Select 4 Speakers)
Section B (Open) $175 X quantity

PLEASE ADD A HANDLING CHARGE OF: $5.00

Total Due:
Please multiply quantity and amount then add $5.00 for handling. Example: Option I, Section A $300 X 2 quantity= $600.00 + 5.00=$605.00.

REDONDO BEACH
If you selected Redondo Beach as your option, please fill out the following:

Series Option I (All 8 Speakers)
Section A (Reserved) $300 X quantity
Section B (Reserved) $250 X quantity

PLEASE ADD A HANDLING CHARGE OF: $5.00

Total Due:
Please multiply quantity and amount then add $5.00 for handling. Example: Option I, Section A $300 X 2 quantity= $600.00 + 5.00=$605.00

Credit Card Information

MasterCard Visa Am Ex Discover

Credit Card Number

Expiration Date

Contact Information

NAME:

ADDRESS

CITY

STATE

ZIP CODE

DAYTIME TELEPHONE

E-MAIL ADDRESS

PASADENA
Series Option I
(All 8 Speakers)

Whoopi Goldberg

Oct. 16, 2002

Sally Ride

Nov. 4, 2002

Tom Brokaw

Dec. 4, 2002

David McCullough

Jan. 14, 2003

Benazir Bhutto

Feb. 19, 2003

Elie Wiesel

Mar. 3, 2003

George Will

April 19, 2003

Robert
Kennedy, Jr.

May7, 2003

PASADENA
Series Option II

Create your own mini-series of 4 Distinguished Speakers. Choose no more than 1 from Column A.

COLUMN A	COLUMN B
Whoopi Goldberg	Sally Ride
Tom Brokaw	David McCullough
	Benazir Bhutto
	Elie Wiesel
	George Will
	Robert Kennedy, Jr.

THOUSAND OAKS
Series Option I
(All 8 Speakers)

Whoopi Goldberg

Oct. 15, 2002

Sally Ride

Nov. 6, 2002

Tom Brokaw

Dec. 3, 2002

David McCullough

Jan. 13, 2003

Benazir Bhutto

Feb.18, 2003

Elie Wiesel

March 4, 2003

George Will

April 15, 2003

Robert Kennedy, Jr.

May 6, 2003

THOUSAND OAKS
Series Option II

Create your own mini-series of 4 Distinguished Speakers. Choose no more than 1 from Column A.

COLUMN A	COLUMN B
Whoopi Goldberg	Sally Ride
Tom Brokaw	David McCullough
	Benazir Bhutto
	Elie Wiesel
	George Will
	Robert Kennedy, Jr.

REDONDO BEACH Series Option I (All 8 Speakers)
Whoopi Goldberg	Oct. 14, 2002
Sally Ride	Nov. 6, 2002
Tom Brokaw	Dec. 2, 2002
David McCullough	Jan. 15, 2003
Benazir Bhutto	Feb. 17, 2003
Elie Wiesel	Mar. 5, 2003
George Will	April 16, 2003
Robert Kennedy, Jr.	May 5, 2003
REDONDO BEACH Series Option II
NOT AVAILABLE

Swan Productions, LLC
P.O. Box 3451
Manhattan Beach,
CA 90266