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Salt Lake City Human Rights Day Celebration

Date: December 10, 2012.
Time: 6:00PM - 8:00PM
Venue: The Leonardo (209 E 500 S, SLC, UT)

The Salt Lake City Human Rights Commission will be presenting its Human Rights Award. Join us for an evening of celebration, entertainment, art, and food (with cash bar).

Please complete this form to reserve your tickets. We will contact you to arrange payment and delivery of your tickets. If you have any immediate questions, please call John Goad in the Office of Diversity and Human Rights at 801-535-6914.

Thank you to WCF Group for their support.

Your Name * First Last
Please enter the name of the person completing this request.
Name of Organization (if applicable)

Please enter the name of your organization if you represent one.
Your Email Address *

Please enter the email address where we can contact you.
How many tickets would you like to purchase?
Tickets are $20 per person. *

Please enter the number of tickets you would like to purchase. (Additional tickets can be purchased at the door for $30/each.)
***Tickets may be purchased over the telephone with a credit or debit card. If you prefer to pay by cash or check, please let us know when we contact you to arrange payment.***

Please provide a telephone number which we can call to arrange payment with you. * ### - ### - ####
We will contact you to arrange payment. Please include the best telephone number at which you can be contacted.
Once we have confirmed payment over the telephone with you, where would you like your tickets mailed? *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Where would you like us to mail your tickets?
Additional Information / Questions

Please include any additional information or questions regarding the event or your reservation.
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