National College of Probate Judges

NATIONAL COLLEGE OF PROBATE JUDGES
Registration Form - 2010 FALL CONFERENCE
The Mills House - Charleston, South Carolina - November 7-10, 2010

*Name (First/MI/Last):

*Court:

*Title:

*Address 1:

Address 2:

*City/State/Zip:

*Country

*Phone:

Fax:

*Email:

Please indicate any physical or dietary restriction of which staff should be aware:

Please indicate how you would like your nametag to read, if different than above:

Fees:

Members	Retired Judges	Guest/Spouse Dinner Cruise Fee
Early Bird - $350 - postmarked by September 1	$100	$75
Regular - $400 - postmarked after September 1

Registration Type:

I am an NCPJ Member

I am a non-member South Carolina judge (you will receive a complimentary year’s membership in NCPJ after the conference).

I am a retired Judge

I am attending my first NCPJ seminar.

I am a new NCPJ member .

Guest Information:

Will you be bringing a guest :

Yes No

Spouse/Guest Name

Cancellations must be submitted in writing; all cancellations will incur a $50 processing fee.

*Registration form AND payment must be postmarked by the deadline to qualify for the “early bird” fees.

Please indicate below if you (and your spouse/guest if applicable) plan to attend the Dinner Cruise on Tuesday, November 9.

I plan to attend:		My guest plans to attend:
($0)	Dinner Cruise, Tuesday, November 9	($75)

* Required Fields

National College of Probate Judges