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NYSBA 2004 Chile Registration Form

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NYSBA 2004 Chile Registration Form Powered By Docstoc
					                                                   NEW YORK STATE BAR ASSOCIATION
                                              INTERNATIONAL LAW AND PRACTICE SECTION
                                                  FALL MEETING, NOVEMBER 9-14, 2004
                                                  THE RITZ-CARLTON, SANTIAGO, CHILE

                                                                            Please note any address corrections below:
Name ____________________________________

Firm ______________________________________

Address __________________________________                                  Daytime Phone              (     ) ________________
City ______________ State ____ Zip __________                               Facsimile Number (               ) ________________

Country       ____________________                                          E-mail address ________________________

                                             MEETING REGISTRATION FORM
Name of spouse or guest __________________________________________________________________________
Nickname/Attorney __________________________________ Nickname/Spouse/Guest ______________________
Name of child(ren), please include ages _____________________________________________________________
PLEASE INDICATE ALL THAT APPLY
         Attorney registration fee:           $895.00 per attorney                                             $ ________________
         Spouse/Guest/Child registration fee: $550.00 per spouse/guest/child                                   $ ________________
Registration fees include: Programming and costs associated with programming, favors, coffee breaks, attorneys’
lunch Thursday and Friday, three cocktail receptions, dinner Wednesday and Friday, Thursday Gala dinner - including
entertainment and Saturday luncheon. Tours are optional.

                                        Please indicate sessions you plan to attend
Thursday, November 11
❑ Continental Breakfast         ❑ Opening Plenary Session          ❑ Program 1      ❑ Program 2
❑ Program 3 ❑ Program 4         ❑ Program 5    ❑ Program 6         ❑ Program 7      ❑ Program 8         ❑ Program 9

Friday, November 12
❑ Continental Breakfast   ❑ Program 10 ❑ Program 11              ❑ Program 12      ❑ Program 13         ❑ Program 14 ❑ Program 15
❑ Program 16 ❑ Program 17 ❑ Program 18 ❑ Program 19              ❑ Program 20      ❑ Program 21         ❑ Program 22 ❑ Program 23
❑ Program 24

Saturday, November 13
❑ Continental Breakfast         ❑ Closing Plenary Session

                                  Please indicate social functions you plan to attend
Tuesday, November 9                     Wednesday, November 10                              Thursday, November 11
❑ Cocktail Reception - Ritz Carlton A   ❑ Welcome Reception - Ambassador’s Residence        ❑ Lunch
Chapter Chairs, Local and Regional                                                          ❑ Gala Reception & Dinner - Palacio Cousiño
Advisory Committees

Friday, November 12                     Saturday, November 13                               Sunday, November 14
❑ Lunch                                 ❑ Lunch & Tour of Viña Santa Rita                   ❑ Brunch - Art Gallery Animal
❑ Reception & Dinner - Club Hipico

I (We) will require transportation      ❑ Wednesday         ❑ Thursday         ❑ Friday        ❑ Saturday      ❑ Sunday

 Optional Spouse/Guest/Child Tours - please indicate events you plan to attend and include per person fees
                        A minimum of 10 people is required for all tours.
Wednesday, November 11                  Thursday, November 12                             Friday, November 13
❑ Santiago City Tour - $36.00           ❑ Valpariso and Viña del Mar - $106.00            ❑ Exploring the Museums - $38.00

              Please refrain from faxing and mailing forms as this can result in double billing.


Check or money order enclosed in the amount of $ __________ (Please make checks payable to the New York State Bar Association.)
❑ Charge $ ________ to ❑ American Express         ❑ Discover    ❑ MasterCard     ❑ Visa       Expiration date ________________________

Card number: __________________________________________                     Authorized Signature ____________________________


      Notice of cancellation must be received November 1, 2004 in order to obtain a refund of fees.
                             Please return this form with appropriate fees to:
                 Linda L. Castilla, Meetings Coordinator, New York State Bar Association
                                  One Elk Street, Albany, New York 12207
                              Telephone: 518-487-5562      Fax: 518-463-8527

				
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