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 Registration Fee Enclosed: $________ @ $400.00 per couple

Non-Family Guest Registration Fee Enclosed: $________ @ $400.00 per couple

If registration is canceled by December 15, 2001, there will be a full refund less a $25.00 administration charge.

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

Alan M. Tepper, Esq.
36 Kresson Rd, Ste E
Cherry Hill NJ  08034