Northampton County Bar Association
Event Registration Form

Quarterly Association Meeting "Malpractice Seminar'"
Date Time Location CLE Credit Hours NCBA Event #
Thursday, May 16, 2013 12:00 PM-2:30 PM Best Western Rts 512 & 22
  • Ethics: 1.5
511

CHECK ORDER

How to Place an Order
and Pay via Check:

  1. Enter your name and
    select the $ amount in
    the area at right.
  2. Make check payable to "NCBA".
  3. Print this page.
  4. Mail the check and this
    portion of the form to:
    NCBA
    155 S. Ninth St.
    Easton, PA 18042

In order to plan for attendance, NCBA Members are to requested to check below all statements that apply:

I will attend the Business Meeting
I will attend the Dinner
I will attend the Program

Quarterly Association Meeting "Malpractice Seminar'"
Event #511 (QAM05162013) Registration Form

Member Name:

ID #:

Amount Enclosed: (Select One):