Required Fields are in blue.
First Thursdays - New York Wine Tasting
Thursday, June 4, 2009 6:30 PM - 8:30 PM
Member ($35) Non-Member ($60)

First Name: M.I.:
Last Name:
Firm/Organization:
Street Address:
Street Address (line 2):
City: State: Zip:
Telephone: Fax:
E-mail Address:
Year of Admission: Area(s) of practice:
Promo Code:

TOTAL TO BE CHARGED TO MY CREDIT CARD: $
Credit Card Type:
Visa MasterCard American Express
Credit Card Number:
(no spaces, no dashes)
Credit Card Expiration Date: [mm/yy]
Please Note: If you are bringing a guest, please fill out a separate registration.

© 2008 The Association of the Bar of the City of New York. All rights reserved.
42 West 44th Street New York, NY 10036
(212) 382-6600