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CCBE Seminar Reservation Form
 
Please select one or more CCBE Events you would like to attend

  Date Time Event Location Status
 
Name of Person Completing this Form: 
 
Company Name:  City/State/Zip: 
Company Address:  Company Phone: 
  Company Fax: 
     
Are you a CCBE Member? Yes No
 
How did you hear about this seminar/event?
 
Other:
 
Seminar Attendee Information
 
1st Attendee: 
2nd Attendee: 
3rd Attendee: 
4th Attendee: 
5th Attendee: 
 
Why are attendees attending this seminar/event?
Please Check all that Apply
 
Other:
 
 
Method of Payment
Payment must be received on or before the date of the seminar/event.
   
Payment Options:   Pay with Visa, MasterCard or AMEX.
      Contact me to obtain credit card info.
  I'll send a check to CCBE
  Bill Me
  Will bring payment the day of the event
 
"No Shows" will be charged the Seminar/ Event Fee, unless cancelation is received at least 48 hours prior to the date of the Seminar/Event.
CCBE reserves the right to cancel if minimum attendance is not met.
Walk-ins will not be permitted.
 
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Please enter the numbers displayed above:
 
= Required Entry