2007 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 Advance Registration Fee Enclosed: $________ @ $450.00 per couple

REGISTRATIONS RECEIVED AFTER NOVEMBER 21, 2007 ARE $500.00 PER COUPLE

If registration is canceled by December 15, 2007, there will be a full refund less a $25.00 administration 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

tepesq@verizon.net or director@ter-law.org