Pennsylvania Bar Foundation
Individual and Team Registration Form
Survey Says!

Individual and Team Registration Form
Individual Registration

Competitor Name:
E-Mail:
Phone:

Team Registration

Team Name:
Team Contact:
Team Contact E-Mail:
Team Contact Phone:
Name of Contestant/ Team Members Title/Position Interesting Fact
Teams, please tell us about yourselves:



Rules
  • Teams will be selected on a first come-first serve basis with an emphasis on encouraging the broadest representation possible of the legal community.
  • Each team must have five members or individuals will be teamed-up with others to form teams of five.
  • Each team member is expected to purchase a ticket to the event. Tickets are $100 each, $40 of which qualifies as a charitable contribution to the Pennsylvania Bar Foundation.
  • Participating teams will be notified no later than October 15.

   Please return the Survey Says! Team Registration Form no later than October 1, 2016 to: 
   Pennsylvania Bar Foundation � Survey Says! Casting Call, P.O. Box 186, Harrisburg, PA 17108-0186. Fax to 717-213-2548 or e-mail to:
   [email protected].