Registration/order Form printable pdf download

REGISTRATION/ORDER FORM

To Register by Mail Please Print & Complete this Form

Completed Registration/Order Forms Should be Mailed to:

City Bar Center for CLE

New York City Bar

42 West 44

Street, New York, NY 10036

Tel: (212) 382-6663; Fax: (212) 869-4451

p Member (ID# __________)

p Nonmember

p Non-Attorney

Date of Order _____________________

First Name ________________________________ Middle Initial _____ Last Name ______________________________

Firm __________________________________________________________________________________________________

Address _______________________________________________________________________________________________ .

______________________________________________________________________________________________________

Daytime Phone Number ______________________________________

Fax Number ______________________________

Email Address __________________________________________________________________________________________

p Enclosed is my check for $___________, payable to the New York City Bar.

p American Express #__ __ __ __ - __ __ __ __ __ __ - __ __ __ __ __ Exp. Date ___________________

p Visa p MasterCard # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Exp. Date _____________

Amount to Charge $_______________________

Signature _____________________________________________

Program Name

Fee

*Materials purchased as stand-alones do not qualify for CLE credit.

Please specify your area of practice: _________________________________________________________________________

How did you hear about this program? p Email p Web p Mail p Other (Please Specify) _____________________________

Please check if you are interested in California, New Jersey and/or Pennsylvania credit:

p California p Pennsylvania p New Jersey

Registration: Advance registration is advised. All

institutes. The cancellation fee will be deducted directly

registrations must be accompanied by a form of payment.

from the refund. For program credits no administrative fee

Please allow 7-10 business days for your order of CDs,

will be charged. Program credits must be used within one

DVDs, and course materials to be shipped.

year of the original program date. Cancellations must be in

writing & faxed to the City Bar Center at (212) 869-4451.

Cancellations & Refunds: For live programs, refunds &

Refunds & program credits are not available for the

program credits are available provided cancellation is made

purchase of CDs, DVDs course materials and online

in writing & received by the City Bar Center prior to the

programs.

program. A $45 administrative fee will be charged to most

programs. A $100 administrative fee will be charged for

Registration/order Form

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