Northampton County Bar Association
Event Registration Form

YLD: YLD Happy Hour
Date Time Location NCBA Event #
Friday, November 15, 2013 5:30 PM-7:30 PM McCarthy's 513 Main Street Bethlehem, PA 606
Synopsis This is a fundraiser for the Holiday Hope Chest Project. All proceeds will be used to purchase items for the children. $20 is the cost of one Holiday Hope Chest. For each person who attends, one Hope Chest will be donated! Registration fee includes: one beverage coupon, food/appetizers.

CREDIT CARD ORDER

MasterCard
or VISA Only

  1. Provide information requested at right.
  2. Print this page.
  3. FAX this page to
    the Bar Association at:
    610-258-8715

YLD: YLD Happy Hour
Event #606 (YLD11152013) Registration Form

Member Name:
ID #:

Amount To Be Charged: (Select One):

Name on Credit Card:

Billing Address:

Phone Number:

Credit Card Number:

CVV Number:   Expiration Month: / Year:

Signature:
 
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