THE SPIRIT OF ADA…LEAD ON!

Celebrating the 20th Anniversary of the Americans With Disabilities Act

Tuesday evening, July 20, 2010 • 7 pm-11 pm
Grand Hyatt Washington, 1000 H Street NW, Washington, DC

Join us as we celebrate 20 years of the ADA!  Dance to the music of Flame, a rock band from New York and enjoy a barbecue supper.  Flame is made up of 11 people with disabilities and performs across the USA and in Europe with a song list of over 100 classic rock, country and blues songs from the past five decades.

Sponsored by: The National Council on Independent Living, ADA National Network-DBTACs, American Association of People with Disabilities, Judge David L. Bazelon Center for Mental Health Law, Bender Consulting Services, Inc., Committee on Disability Power & Pride, Epilepsy Foundation, Hearing Loss Association of America, National Association of the Deaf, National Federation of the Blind, National Industries for the Blind, Paralyzed Veterans of America, Shepherd Center, United Spinal Association (as of 3/19/10).

RESERVATION FORM
(Deadline for reservations: Friday, July 9, 2010)
All tickets are available on a first come-first served basis and may sell out quickly

[  ] $10,000 10 Tickets, Logo Signage at event, recognition on evite and in event program
[  ] $5,000 5 Tickets, Signage at event, recognition on evite and in event program
[  ] $2,000 3 Tickets, Recognition in event program
[  ] $1,000 2 Tickets, Recognition in event program
[  ] $500 1 ticket, Recognition in event program
[  ] $50 1 Individual ticket. I wish to purchase _____ individual ticket(s).

Total Due: $__________

Name: 
Title: 
Organization:
Address:
City:
State:                                   
Zip Code:
Phone:
Email:

Payment: Please select one of the following:

[  ]  Enclosed is a check for $_______payable to: NCIL (Note: NCIL is acting as the fiscal agent for this event)
[  ]  Credit Card            [  ]  Visa          [  ]  Mastercard          [  ]  Amex

Name on Card Signature:
Card Number:
Expiration Date:

If paying with credit card, email this form to Natalie@natalieshear.com or fax it to 202 833-2116. If paying with check, mail this form to Natalie Shear, 1825 K Street NW, Suite 400, Washington, DC 20006.

Questions? Contact Natalie Shear by phone or TTY at 202 833-4456 or 800-833-1354.

PLEASE NOTE: The organizers of the Spirit of ADA…Lead On! event are aware that a series of events are being planned in Washington, DC and around the country to celebrate the ADA Anniversary, including a large Disability Pride Parade in Chicago on July 24 and a Disability Power & Pride 20th ADA Anniversary Gala in Washington on July 26. We plan to coordinate and collaborate on events wherever possible, and encourage folks to let us know your plans to celebrate the 20th anniversary. Please send details of your event to Sarah Peterson at jfaan@aapd.com and we will maintain a central listing of all the events we know about.