Annual Installation & Awards Dinner
Tuesday, September 28, 2010
 The Four Seasons Hotel 
300 South Doheny Drive
Los Angeles, CA 90048
Firm Name:
Firm Address:
City:
State:
Zip:
Email Address:
Number of Attendees:
Attendee One Name:
Attendee Two Name:
Attendee Three Name:
Attendee Four Name:
Attendee Five Name:
Attendee Six Name:
Attendee Seven Name:
Attendee Eight Name:
Attendee Nine Name:
Attendee Ten Name:
Charge on my Credit Card/Check @ $175.00 per person ($1,700 per Table of 10) $
Payment Type Check
Visa Card
MasterCard
Discover Card
American Express Card
Check Number

Please contact the office at (310) 601-2422 with your credit card information


If you prefer to pay by check or register by fax: 
First fill out your information on the form and then print it. 
Mail the form along with your check made payable to BHBA to:

Beverly Hills Bar Association
Membership and Event Mailings
P. O. Box 515495
Los Angeles, CA 90051
(310) 601-BHBA Fax (310) 601-2423

or fax the completed form with your credit card information to: (310) 601-2423

© 2010 Beverly Hills Bar Association.
  All Rights Reserved
This page was last updated on 05/04/12