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
If early
registration is canceled by December 15, 2009, 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
133 Paisley Place
Hainesport
,
(609)
864-1838
tepesq@verizon.net
or director@ter-law.org