NATIONAL
Registration Form – 2008 SPRING CONFERENCE
I am a new NCPJ member.
I am attending my first NCPJ seminar.
First Name: Last Name:
Indicate how you would like your nametag to read, if
different than above:
Court:
Title:
Mailing Address:
City: State:
Zip Code:
Phone Fax:
E-Mail Address:
Please indicate any physical or dietary needs that require
special attention:
Full name of attending spouse/guest:
One conference notebook is included with registration. If you want to order additional notebooks (price
to be announced) please indicate the number:
Registration Fees:
(Please indicate below the amounts that are included in your check.)
$300 (received by April 1) $350 (received after April 1) $
$100 Retired Judge Fee $
$25 Guest/Spouse Fee $
TOTAL
DUE $
Payment Method:
Enclosed is my check for $_____ made payable to National College of Probate
Judges (federal tax ID# 36-2856777).
Please
send a receipt
Please send invoice.
Please
mail a completed registration form along with payment to:
Toll Free
(800) 616-6165/Phone (757) 259-1841/Fax (757) 259-1520
bforrest@ncsc.dni.us