Non-Members Registration Form to NYCBA Events
Fields marked with an
*
are required.
Date
Select Event or Dues
Annual Dues $100.00
Holiday Party $95.00
Annual Dinner $165.00 (Members)
Annual Dinner $180.00 (non-Members)
Annual Dinner $1500.00 (Table for ten if paid by 5/26/08)
*
Number of Tickets?
*
Salutation
Mr.
Ms.
Mrs.
Hon.
Prof.
Dr.
First Name
*
M.I.
Last Name
*
Firm Name
Address
*
City
*
State
*
Zip
*
Phone
*
Fax
Ex: (212 555-5555)
E-Mail
*
Website
Where did you hear about this Event?