1101 Market Street, 11th Floor • Philadelphia, PA 19107
Phone: 215-238-6300 • Fax: 215-238-1267 • www.philadelphiabar.org
June Quarterly Meeting Registration Form
PHILADELPHIA BAR ASSOCIATION
QUARTERLY MEETING AND LUNCHEON
PARK HYATT PHILADELPHIA
BROAD AND WALNUT STREETS
TUESDAY, JUNE 19, 2001 -- NOON
___________________________
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 ________________________________________
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.