Thank you for choosing to register for the State Capital Group's 2006 Midwinter Meeting online. Complete the registration form below by selecting the events you (and your spouse/guest) plan to attend and submit payment information online - or - mail your check to the State Capital Group.  If you prefer, print out this page and fax it to the State Capital Group at (202) 659-6641.   More information about the State Capital Group's 2006 Midwinter Meeting will be presented following completion of this form. You will receive an email registration confirmation within five (5) business days of receipt. If you do not receive registration confirmation after one week, please call us at (202) 659-6601 for assistance. NOTE: Registrations must be received no later than Wednesday, March 8, 2006 for registrant's name to appear on the pre-printed registration list.
PARTICIPANT Information:
Name:
Firm:
Jurisdiction:
Email:
Spouse/Guest:
Meeting Registration Fee*:
		Earlybird (before February 1)	$775 USD	* Fee includes all educational programs, receptions, and most meal functions (Thursday dinner not included).
		Regular (February 2 - 17)	$825 USD
		Late (February 18 and after)	$875 USD
		My firm qualifies for the Multiple Registration Discount If 3 or more attorneys attend the 2006 Midwinter Meeting, deduct $50 from each registration fee
PLEASE INDICATE YOUR PLANNED ATTENDANCE AT THE FOLLOWING FUNCTIONS:
Thursday, March 16:
Yes	No
		"Asia/Pacific Rim Business Briefing" Lunch (12:30 - 2:00 p.m.) *Pre-registration required
		First-Time Attendees and Visiting Firms Orientation (2:30 - 3:00 p.m.)
		Informal "Dutch-Treat" Dinners  (immediately following welcome reception at The Fairmont Miramar Hotel)
Friday, March 17 - Practice Section Meetings:
1:30 - 2:30		Business/Commercial Transactions Law Section Healthcare/Insurance & Tax Law Sections (Session 1)
2:45 - 3:45		Healthcare/Insurance & Tax Law Sections (Session 2) Public Utilities, Energy & Communications Law Section
4:00 - 5:00		Alternative Dispute Resolution Section Labor and Employment Law Section
Spouse/Guest Registration Fee(s):
		Thursday Lunch	$55 USD
		Thursday Reception	- no cost -
		Friday Morning Tour	$39 USD
		Friday Lunch	$55 USD
		Friday Dinner	$145 USD
		Saturday Lunch	$55 USD
Total Due:		To calculate total due, add meeting registration fee plus any spouse/guest registration fee(s)
Payment Information:
Charge to credit card below.                       Check will be mailed.
Card Type:		Visa     Mastercard     American Express
Card Number:			Expiration:
Cardholder Name: