Phila LERA Monthly Meeting

LERA - Philadelphia Chapter - Meeting Registration Form
Meeting Location:

The Racquet Club of Philadelphia

215 S. 16th Street

Philadelphia, PA 19102
Full Name*

PrefixFirst NameLast NameSuffix
Organization
Affiliation*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Meeting registration fee information

Individual Meeting - $30.00

Dinner Meeting - $45.00

NEW (for members who have been in the field practicing for less than 5 years):
- $10 individual meeting ($25 for dinner meeting)
- $10 student/guest
You can make your payment by using the 'Submit' button below or sending a check, made out to Philadephia LERA. Checks can be mailed to the address below. When sending in checks, please print the completed form (click on 'Print Form') and mail it with your check.

Alidz Oshagan, Treasurer Phila LERA

Law Offices of Willig, Williams & Davidson

1845 Walnut Street, 24thFloor

Philadelphia, PA 19103
SELECT ONE:
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Individual Meeting$30.00

NEW: Individual Meeting (members who have been in the field practicing less than 5 yrs)$10.00

Student/Guest$10.00
When you click on 'Submit' below you will be redirected to PayPal. If you are mailing a check - please click 'Print Form' before submitting, then click submit and cancel the transaction once you get to PayPal.
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LERA - Philadelphia Chapter - Meeting Registration Form