|Date of Request *:|| Please use mm/dd/yy format|
|Name (full name [first & last])*:|
|Address where we can contact you *:||Street address:|
City: State: Zip:
|Work Phone (include area code)*:|
|Home Phone (include area code):|
|Cell Phone (include area code):|
|Fax (include area code):|
|I wish to be notified of future events by e-mail.||Yes No|
|My membership status is: *||SCBA Attorney member
, SCBA Student member , Non-Member Attorney |
|Event(s) you wish to register or RSVP for:(choose as many as you wish, by clicking on each choice while pressing the Ctrl key - scroll to see all choices)*
|The number of people (persons) attending the event is (default is 1, update as required)*:
Please enter the names of all persons attending this event *.
If you have chosen more than one event, please indicate who will be attending which event.
The total amount due is (If no charge or amount is due please enter 0)*:
|Method of payment:|
Credit Card information:
Charge card type (choose one):
American Express (AMEX)
, Master Charge , Visa, Discover
The SCBA is temporarily not processing credit card information on
line. AFTER SUBMITTING THIS FORM PLEASE CALL THE SCBA AT
AND GIVE YOUR CREDIT CARD INFORMATION BY PHONE. THANK YOU.