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2011 PBA MIDYEAR MEETING REGISTRATION FORM Casa Marina Resort & Beach Club, Key West, Florida • February 2-6, 2011

REGISTRATION DEADLINE: DECEMBER 20, 2010

Name (Please type or print)

First Name or Nickname for Badge

Address

City

State

Zip Code

Supreme Court ID

Phone #

FAX #

E-mail

Name of Spouse/Guest

Spouse/Guest Name to appear on Badge

Name(s) of Additional Person(s) and Age(s) of Child(ren)

  • Check here if you require special services. Attach a written description of needs.

REGISTRATION FEES

The PBA package includes hotel accommodations; all taxes, housekeeping gratuity; roundtrip bellman fees; meeting registra- tion fee for one attorney; Wednesday’s Welcome Dinner and Saturday’s Farewell Dinner events. The package does not include airfare, other meals, beverages, golf, tour excursions, CLE fees and ground transfers.

There is an additional charge for a third or fourth adult in the room. Please see pricing below. The maximum number of people per room is four.

Additional person prices include both the Wednesday and Saturday evening events (see pricing below). Additional attorneys staying in the same room must pay a $150 registration fee to participate in PBA events.

Please call the PBA Meetings Department at 800-932-0311 ext. 2234 or 2225 for other package options, questions or assistance.

Full Conference Package: Wednesday – Sunday (2/2-2/6) $1,895 single or $2,235 per couple for Island View rooms $2,135 single or $2,475 per couple for Ocean view room with balcony

$428 for 1 additional adult in room $110 each for children ages 4-11 No charge for children 3 and under

$856 for 2 additional adults in room

$_________ $_________ $_________ $_________ $___NC___

Optional Extended Package: Tuesday – Sunday (2/1-2/6) $2,232 single or $2,570 per couple for Island View rooms $2,532 single or $2,870 per couple for Ocean View room with balcony

$448 for 1 additional adult in room $110 each for children ages 4-11 No charge for children 3 and under

$896 for 2 additional adults in room

$_________ $_________ $_________ $_________ $___NC___

Non-Member Surcharge: $200

$

_________

Second/Third/Fourth Attorney Fee: $150 each

$

_________

I prefer a

_____

king bed

_____

double/double bed

BALANCE FORWARD

$

_________

2011 PBa Midyear Meeting Key West, Florida

13

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