2006 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, 2006 ARE $500.00 PER COUPLE

If registration is canceled by December 15, 2006, 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, ESQUIRE
            National Executive Director
            1951 Old Cuthbert Road, Suite 413
            Cherry Hill ,  New Jersey   08034

(856) 429-3901 / (Fax) 856-429-4846
            director@ter-law.org

*  Please have your guests complete a separate reservation form.