2005 CONVENTION ADVANCE REGISTRATION FORM

Name:             ________________________________________________________________

Address:         ________________________________________________________________

                        ________________________________________________________________

Telephone:     _________________________    Fax:         _____________________________

E-mail:            ________________________________________________________________

Arrival Date:  ____________________           Departure Date:  ____________________

Number of Adults:   ____      Children:   ____   Guests:   ____

Names of Guests:* ______________________________________________________________

IF YOU ARE NOT STAYING AT THE HOTEL, PLEASE PROVIDE US WITH YOUR LOCAL ADDRESS AND TELEPHONE NUMBER

______________________________________________________________________________

Member Advance Registration Fee Enclosed:  $________  @ $450.00 per couple

Non-Family Guest Registration Fee Enclosed: $________  @ $500.00 per couple

ALL REGISTRATIONS RECEIVED AFTER NOVEMBER 15, 2005 ARE $500.00 PER COUPLE

If registration is canceled by December 15, 2005, there will be a full refund less a $25.00 administrative charge.

Return your completed advance registration form and check payable to TER to:

                Alan M. Tepper, National Director
                Tau Epsilon Rho Law Society
                1951 Old Cuthbert Rd  Ste 413
                Cherry Hill NJ  08034

                    tepesq@erols.com or director@ter-law.org

*  Please have your guests complete a separate reservation form.