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REGISTRATIONFORMNote:BecausethismeetingisinEuropeweareaskingforyourcellphonenumber.Inaddition,thebulkofyourregistrationinformationwillbemailedtoyourhomeaddressunlessotherwiseindicated.
RegistrantInformationName_____________________________________________NameonBadge_______________
ArrivalDate________________________________DepartureDate________________________
Firm/CompanyName_____________________________________________________________
BusinessAddress__________________________________________________________________
City_________________________State_____________Zip___________Country___________
BusinessPhone__________________________CellPhone________________________________
Emailaddress______________________________________
HomeAddress:____________________________________________________________________
City:______________________________State:________Zip:_____________Country:________
U.S.StateBarNumber(s)ForAllStatesWhereLicensed:___________________________________
IsthisyourfirstmeetingasanFDCCMember: Yes NoIsthisyoursecondmeetingasanFDCCMember: Yes NoIsthisyourthirdormoremeetingasanFDCCMember: Yes No
Spouse/SignificantOthername______________________________________________________
NameonBadge_________________________CellPhone________________________________
Spouse/Significantotheremailaddress:_______________________________________________
Pleaselistalladultguestsattendingwithyou:
Nameonbadge Relationshiptoregistrant Address(ifdifferentthanmember)*_______________________ ____________________ ______________________________
City_________,State____Zip______
_______________________ ____________________ ______________________________
City_________,State____Zip______
_______________________ ____________________ ______________________________
City_________,State____Zip______
* Unlessotherwiseindicatedregistrationinformationwillbeshippedtothemember’saddress
Pleaselistallchildrenundertheageof21attendingwithyou:
Nameonbadge Birthday T-shirtsize_______________________ __/__/____ sm____med____lrg____xl____
_______________________ __/__/____ sm____med____lrg____xl____
_______________________ __/__/____ sm____med____lrg____xl____
MeetingInformationandFeesMember/Non-Member,Corporate,Spouse/SignificantOther/AdultGuest/AdultChild:Feeincludesbreakfasts,allreceptionsincludingtheWelcomeReception,President’sReception/DinnerThemeParty,andtheMasqueradeBall.Children16–20:Feeincludesbreakfast,WelcomeReception,ThemePartyandtheMasqueradeBall.Childrenundertheage16:Feeincludesbreakfasts,theWelcomeReception,andThemeParty.Note:AllchildrenarewelcometoattendthePresident’sReceptionandDinnerinGruyereforanadditionalfeeof$125.00.
RegistrationCategory Cost SelectDefenseCounselMember/Non-MemberLawyer $1775 ___________CorporateCounsel $695 ___________Spouse/Companion/ChildrenOver21 $750 ___________Children16-20 $495 ___________Children12-15 $425 ___________Children4-11 $260 ___________Children3andunder Complimentary ___________
Pleasenote: IfbothspousesareFDCCmembers,theymaypayoneMemberFeeandOneSpouse/Companionfee.Ifpayingbycheckpleasededuct$85fromthetotalamountdue.
Events:Date Time Event Price/Person #of Total$
ParticipantsMon.7/24 6:00-8:30pm WelcomeReception Complimentary _____ _CompWeds.7/26 5-10pm President’sRecp/Dinner Adults:Comp _____ _CompWeds.7/26 5-10pm President’sRecp/Dinner Children0-3 _____ _CompWeds.7/26 5-10pm President’sRecp/Dinner Children4-20: _____ $125_Thurs.7/27 5:00-9:30pm ThemeParty Complimentary _____ _CompThurs.7/27 9:30-11pm DessertParty Complimentary _____ _CompFri.7/28 6:30-11pm MasqueradeBall Complimentary _____ _CompFri.7/28 6:30-11pm MasqueradeBall Children16-20 _____ _Comp
ParentsareresponsibleforchildrenatthePresident’sReceptionandDinner
14kGoldConventionCharmCost #ofCharms Total$$140 __________ _________
ZurichActivities:Date Time Event Price/Person #of Total$ #NonSummit
Participants ParticipantsMon7/24 6:00am TransportationtoZurich $85 _______ _____ _____
RoundtripTransfer.OpentoallattendeesMon7/24 9:00am-12pm BridgingtheGapInsurance Comp _______ _Comp _____
SummitMon7/24 10am-2pm WalkingTourofZurich $95 _______ _____ _____
w/lunch.OpentoallattendeesBusesleaveat6am
Mon7/24 12pm-2pm LunchCruiseonLakeZurich $95 _______ _____ _____OpentoattendeesofSummitonly
Mon7/24 2pm TransportationtoMontreux $55 _______ _____ _____OnewaytransferfromZurichtoMontreuxOpentoallattendees
Activities:Date Time Event Price/Person #of Total$
ParticipantsSun7/23 3pm-4pm GuidedTourofFairmont $30 _______ _____
LeMontreuxPalaceMon7/24 9:30am-12pm GuidedTourofChateau $65 _______ _____
deChillonMon7/24 1pm-3pm LunchCruiseonLakeGeneva $180 _______ _____Mon7/24 2pm-3:00pm GuidedTourof $30 _______ _____
FairmontLeMontreuxPalaceTues.7/25 10am-4pm GlacierTour $215 _______ _____
w/boxedlunchTues.7/25 10am-4pm GuidedTourofOldTownBern $155 _______ _____
w/lunchTues7/25 10am-4pm GuidedTourofLausanne $170 _______ _____
&ShoppingExcursionw/lunch
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Weds7/26 10–11:30am ABookClubinMontreux N/C _______ _____Weds7/26 1pm-3pm LunchCruiseonLakeGeneva $180 _______ _____
w/lunchWeds7/26 1:30pm-4pm WineTastingTourofLavaux $175 _______ _____Weds7/26 1pm-3:30pm AlpineHike $215 _______ _____Weds7/26 1:30pm-4pm GuidedTourofChateau $65 _______ _____
deChillonThurs7/27 9am-10am Spouse/GuestHospitality N/C _______ _____Thurs7/27 12:30-3:30pm AStrollw/Hemingway N/C _______ _____Thurs7/27 1:30-4:30pm Thenest;Nestle’sDiscovery $75 _______ _____
CenterThurs7/27 1:30-4:30pm ChocolateExcursion $105 _______ _____Thurs7/27 1:30-4:30pm OlympicMuseum $120 _______ _____Fri7/28 7am-8am FunRun N/C _______ _____Fri7/28 1:00-4:30pm RochersdeNaye $25 _______ _____Fri7/28 1:30pm-5pm AquaParc-Adults $104 _______ _____
Children6-17 $88 _______ _____Childrenunder5 N/C _______ _____
Fri.7/28 1:30-4:30pm OlympicMuseum $120 _______ _____Fri.7/28 1:30pm-4pm WineTastingTourofLavaux $175 _______ _____
Children’sActivities:Date Time Event Price/Person #ofParticipants AgeMon7/24 6:30am-5pm FDCCKidsDaycare N/C _______ _____Wed7/26 7:15am-12:15pm FDCCKids’Morning N/C _______ _____Wed7/26 4:30-10:30pm ChildrenandYouth N/C _______ _____
DinnerProgramThurs7/27 7:15am-12:15pm FDCCKids’Morning N/C _______ _____Fri7/28 7:15am-12:15pm FDCCKids’Morning N/C _______ _____Fri7/28 6:00pm-11pm ChildrenandYouth N/C _______ _____
DinnerProgram
Totals: RegistrationFees: $__________CharmFee: $__________ZurichActivitiesFee: $__________OptionalActivitiesFee: $__________ChildrenActivitiesFee: $__________
GRANDTOTAL(Pleasetotalallfeesincludingregistration,charmandactivities). $__________
PLEASEsendpaymenttotheFDCCorregisteronlineatwww.thefederation.org
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PaymentCheck/MoneyOrder(PayabletotheFDCCinUSD)-Ifpayingbycheckpleasededuct$85fromthetotalamountdue.
__AMEX __Visa __MasterCard
Number:_________________________________ExpirationDate:_________SecurityCode:________
NameonCard:___________________________________________________ZipCode:_____________
Signature:_____________________________________________________________________________
Pleasenote:theFDCCcannotregisteryouunlesstheproperpaymentismadewithyourregistrationform.AllfeesarelistedaboveandarepayableinU.S.Currency.PleaseseetheConventionCancellationPolicyforthefullrefundpolicy.Forquestionspleasecalltheregistrarat630.433.4517
FederationofDefense&CorporateCounsel,275N.YorkStreet,Suite401Elmhurst,IL60126/Phone:630.433.4517
ConventionCancellationPolicy:
Arefundofregistrationfeesless$85andanyapplicablecreditcardfeeswillbegiveniftheFDCCofficereceiveswrittennoticenolaterthanJune19,2017.
NorefundswillbegivenifnoticeofcancellationisreceivedbytheFDCCofficeafterJune19,2017.
Intheeventofspecialcircumstancessuchasillnessorunforeseenfamilyorprofessionalemergencies,thisrefundpolicymaybesuspendedormodified(baseduponthemember’swrittenrequest)onlybyactionofthepresidentuponrecommendationoftheConventionChair.Itishighlyrecommendedthatallregistrantsgettripcancellationinsurance.
PleasenotifytheFDCCofficebyemail([email protected]/[email protected])onceyouhavecancelledyourhotelreservations.NeithertheConventionChairnortheFDCCofficehasauthoritytomodifythehotel’scancellationpolicy.
ChargespaidtotheFDCCforseparateevents/activitiesmayormaynotberefundedinwholeorinpart.Thedecisiontorefundthesewillbemadeonacase-by-casebasisbytheConventionChair.MembersseekingreimbursementforthesepaymentsmustsubmitawrittenrequesttotheConventionChair.
Thedecisiontorefundfeeswillbebased,inpart,onthetimingofthecancellationandwhetherthereareavailableconventionfundsfromwhichtomaketherefund.PleasenotethatrefundsofanypaymentstoindependentthirdpartiesfortoursandothereventsandservicesarenottheresponsibilityoftheFDCC.
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