Support Amelia Boynton Robinson's Tour

for the "Dialogue of Civilizations"

c Forum: December 15^th, John Jay College, New York City

c Concert and Tribute: December 16^th, Cami Hall, New York City

Include Your Message in the Commemorative Program

for Amelia's 90^th Birthday:

c $1,000 for a Full Page Advertisement

c $500 for ½ page

c $350 for 1/3 page

c $250 for 1/4 page

c $100 for a business card

c $_____ please add this contribution for the tour, do/do not add my name

Include or Attach Ad Text and Graphics here:

Name: _________________________________________________

Address: ________________________________________________

Phone Number: ____ __________________________________________

Make checks payable to HSDI, and mail to: PO Box 58, Ridgefield Park, NJ 07660