Defense Trial Counsel of West Virginia

Name

Badge Name

Spouse/Guest Name

Badge Name

Children/Age

Firm

City/State/Zip code

Email

Phone

Registration & Fees

Registration and Fees
(PLEASE CLICK THE CHECKBOXES AND ENTER NUMBER OF PEOPLE)

x Attorney Member - $360.00
x Attorney Non-Member - $460.00
x Legal Assistant - $100.00
x Legal Assistant Non-Member - $200.00
x Spouse/Guest Fee for Receptions/Banquet - $125.00
x Children: 13 & older (Receptions/Dinner) Children Under 13: No Charge - $50.00

Click checkbox and indicate number of people including yourself.

Pay By Check

If you wish to pay by check instead of online, choose that option in the field above. Checks should be made out to DTCWV and sent to the address below:

Defense Trial Counsel of West Virginia
P.O. Box 527
Charleston, WV 25322-0527

Golf
(PLEASE CLICK THE CHECKBOXES AND ENTER NUMBER OF PEOPLE)

x Golf: The Palmer Course - $153.00

(Cart, Green Fees, Lunch, Prizes)
Click checkbox and indicate number of people including yourself.

Handicap:

# Playing:

Additional Player Name:

Additional Player Handicap:

Optional Activities.

Lunch on the Maple Patio (reservation only)
(Tacos and Margaritas, Beer, Wine & Sodas)

x # Number of People - $61.00

(Choose # of people. This includes yourself)

Lunch with Non-Alcoholic Beverage

x # Number of People - $38.00

(Choose # of people. This includes yourself)

Sorrell Boat Ride (reservation only)
(There will be a bar on board the boat. Use up your tickets or pay cash for beverages) Color coded tickets will identify your selection at the bar.

x # Number of People - $39.00

(Choose # of people. This includes yourself)

Guided Hiking (2-3 miles) (guide provided reservation only)

x # Number of People - $62.00

(Choose # of people. This includes yourself)

Mountain Laurel Spa – 20% discount (wine and cheese provided) (Make reservations early-there are spots reserved from 1:30 – 5:00 pm in the name of DTCWV) All pricing includes taxes and fees. No gratuities

x # Number of People - $0.00

Dinner & Reception Attendance

I plan to attend the Wednesday President’s Welcome Reception

Yes
No

# Guest

I plan to attend the Thursday Main Reception/Dinner

Yes
No

# Guest

# Children

Additional Information

Past President, Year

First Time Attendee

Yes
No

Other states in which you need CLE credits

DTCWV will pay to apply for credit in states for which it receives 3 or more requests.

Young Lawyer

Yes
No

WV Bar #

Other states in which you need CLE credits

Vegetarian or Other Requirement

Yes
No

Do you or your guests have any special dietary needs? If so please explain

Online Payment

Cardholder Name

VISA

MasterCard

American Express

Card Number

Expiration Date

Security Code

Total

$0.00

DTCWV Annual Meeting Registration

Registration & Fees

Optional Activities.

Dinner & Reception Attendance

Additional Information