subject_line
Fairfield County Bar Event Registration
Name
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Firm
*
Firm Address:
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City:
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State:
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Zip:
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Contact Phone Number
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Email Address
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Event Details
Enter the event you are registering for:
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Are you registering additional attendees?
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Yes
No
Enter the details for all additional attendees including; full name, firm and and if they are a FCBA member or non-member.
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Event Payment Information
Enter the total payment you are submitting for this event registration in the field below. You will process your secure transaction on the next screen.
Event Payment:
Please click Continue to process your secure payment. Your Event Registration will not be submitted until payment is made.