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Company

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REGISTRATION FORM

You must register below and pay online to attend. Payments at the door are no longer accepted. No refunds are given to those unable to attend. Substitutions are always welcome!

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Monthly Event

November Luncheon

Are there any Veterans attending? Reminder, Veterans eat for free, but we do need to know how many will attend. Please select a number below.

Veterans attending (NO CHARGE)

Veteran(s) Attending

Please select number of Veterans attending

Veteran First Name

Veteran Last Name

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Veteran?

Veteran

Second Veteran First Name

Second Veteran Last Name

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Veteran?

Veteran

Third Veteran First Name

Third Veteran Last Name

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Veteran?

Veteran

Fourth Veteran First Name

Fourth Veteran Last Name

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Veteran?

Veteran

Fifth Veteran First Name

Fifth Veteran Last Name

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Veteran?

Veteran

Paid Luncheon Signup - You do not have to be a PCBA Member for this luncheon

Paid Tickets

Luncheon Paid Tickets ($30.00)

Quantity

Subtotal

$0.00

Purchaser Information

First Name

Last Name

Law Firm / Company

Phone

Address

City

State

Zip Code

Ticket Holder 1

Ticket Holder Name

First Last

Ticket Holder 2

Ticket Holder Name

First Last

Ticket Holder 3

Ticket Holder Name

First Last

Ticket Holder 4

Ticket Holder Name

First Last

Ticket Holder 5

Ticket Holder Name

First Last

Online Payment

Payment Options

Amount Owed

Convenience Fee

Price: $0.00

Total Cost

Credit Card

Card Details

Cardholder Name

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Payment Type (Do not alter)

Credit Card

Once payment is submitted, you will receive a confirmation via email. Please print your email confirmation for each attendee to verify the purchase at check-in.

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manual entry forms

2026 Annual Meeting & Dinner Ticket Options

Ticket Holder One

Ticket Holder Two

Ticket Holder Three

Ticket Holder Four

Ticket Holder Five

Ticket Holder Six

Ticket Holder Seven

Ticket Holder Eight

Ticket Holder Nine

Ticket Holder Ten

Other Sponsorship Opportunities (No tickets included)

Table Name, Annual Meeting Program and Sponsorship Name Information

Payment Information

REGISTRATION FORM

Paid Luncheon Signup - You do not have to be a PCBA Member for this luncheon

Purchaser Information

Ticket Holder 1

Ticket Holder 2

Ticket Holder 3

Ticket Holder 4

Ticket Holder 5

Online Payment