Quarterly Association Meeting Registration Form

Northampton County Bar Association
Event Registration Form

Date	Time	Location	CLE Credit Hours	NCBA Event #
*Quarterly Association Meeting*
*Thursday, September 19, 2013*	*5:30 PM-8:00 PM*	*Best Western Rts 512 & 22*	Substantive: 1	*512*
Synopsis

CHECK ORDER How to Place an Order and Pay via Check: Enter your name and select the $ amount in the area at right. Make check payable to "NCBA". Print this page. 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* Event #512 (QAM09192013) Registration Form Member Name: ID #: Amount Enclosed: (Select One):

How to Place an Order
and Pay via Check:

Enter your name and
select the $ amount in
the area at right.
Make check payable to "NCBA".
Print this page.
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
Event #512 (QAM09192013) Registration Form

Member Name:

ID #:

Amount Enclosed: (Select One):