June Quarterly Meeting Registration Form

 

___________________________

 

 

Please send me _____ reservation(s) for the Philadelphia Bar Association's Quarterly Meeting and Luncheon.  Tickets are $40 for members and $45 for non-members.  Checks should be made payable to the Philadelphia Bar Association.

 

Name______________________________________________

 

Firm/Affiliation_______________________________________

 

Address____________________________________________

___________________________________________________

 

Telephone___________________________________________

 

Credit Cardholder_____________________________________

 

__VISA           __Mastercard          __American Express

Card Number ________________________________________

 

Expiration Date_______________________________________

 

Signature____________________________________________

 

Return to:  Philadelphia Bar Association, Quarterly Meeting, 1101 Market St., 11th Fl., Philadelphia, PA 19107-2911.  Credit card payments should be faxed to Bar Headquarters at 215-238-1159.