2013 PBA Family Law Section Winter Meeting Registration Form

Pennsylvania Bar Association
Family Law Section Winter Meeting
January 18-20, 2013
The Westin Convention Center, Pittsburgh
Registration Form
Credit Card Payment REQUIRED!
Name:
Nickname or First name for Badge:
Address:
Supreme Court ID No:
Email:
Phone:
Name of Spouse or Guest
(if attending events):
Children's names and ages
(if attending events):
Describe any special services needed for you or any of your guests attending events, including special dietary needs.


Please check here if you are a first-time attendee.
PBA FLS Joann Ross Wilder Scholarship Applicant
REGISTRATION FEES - CHECK APPROPRIATE BOX
Registration fee includes up to 10.5 hours of CLE credit (including 1.5 hours of Ethics), URL link to download course materials, Friday and Saturday evening receptions, breakfast on Saturday and Sunday, and Lunch on Saturday.
  PBA Member - $495
 
PBA Member, Non-Section Member - $615
   
Non-PBA Member - $715
 
Judges & Judicial Law Clerks and those in practice 3 years or less - $320
LATE REGISTRATION FEE: For registrations placed December 28, 2012 or later
  None
 
Late Fee - $50

Regular PBA "blue book", in addition to link with course materials - $50

  None
 
One - $50

Memory Stick with course materials - $10

  None
 
One - $10

CLE WORKSHOP CHOICES: (Please check preferences. Choices are used for planning purposes and are non-binding.)

AAML (1.5 credits substantive)
Evidence Plenary (1.5 credits substantive)
Appellate Plenary (1.5 credits substantive)
Workshops:
A — Marcellus Shale (1.5 credits substantive) OR
B — Executive Compensation (1.5 credits substantive)
Workshops:
C — Technology Issues (1.5 credits ethics) OR
D — Beyond the Basic Custody Evaluation (1.5 credits substantive)
Updates: Case Law Updates, Legislative Updates & Rules Updates (3.0 credits substantive)

Evening Meal Functions
 Included in registration fee for registrants, but for planning purposes, please indicate the receptions you will attend:

Friday Evening Reception
Saturday Evening Reception
Saturday Lunch

Friday Evening Reception
Spouse/Guests
 None
  One - $85
  Two - $170
  Three - $255
  Four - $340

Saturday Evening Reception
Spouse/Guests

None
  One - $85
  Two - $170
  Three - $255
  Four - $340

Saturday Lunch
Spouse/Guests		 None
  One - $40
  Two - $80
  Three - $120
  Four - $160

Total Amount Due:

To complete the registration process you will need to "Proceed to checkout" in the store and walk through the steps to process your credit card information. For assistance, contact Traci Raho at (717) 238-6715, ext. 2255.



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Registration Deadline and Cancellation Policy: Registration deadline for the conference is December 27, 2012. After that date, all registrations will be accepted on a space-available basis and will incur a late fee of $50. Written cancellations must be received before the close of business on December 27, 2012. Upon receipt, a refund will be issued, minus a $75 admin-istrative fee.

RETURN COMPLETED REGISTRATION FORM AND PAYMENT BY December 27, 2012 to: PBA Meetings Dept., P.O. Box 186, Harrisburg, PA 17108-0186 or fax credit card registration to 717-213-2507. For more information, call 1-800-932-0311. Registrations will not be processed without payment.