Sponsorship Form Bench Bar 2019 On-Time RateName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country PhoneEmail Shirt Size(s)*On Time RateThrough March 5th!Regular Registration $850Judicial Registration $750Traditional Room OptionsBASED ON AVAILABILITY 2 Queen Beds 1 King BedSuite Upgrade $350.00Suite UpgradeEXTREMELY LIMITED Please contact the DCBA Office to ensure there are suites availableThursday Night RoomThursday Night Reservation $175Golf (Scramble Tournament)Please see sponsorship form for Hole or Tournament SponsorshipIndividual $125Team of Four $400Who's on Your Team?Are You Bringing a Guest? (Limit 2 People Room)*Space for Attendees and Guests at Bench Bar is LIMITED and admission is subject to availability. Guests will receive meals and access to activities, except CLE. Attorney guests may attend and receive credit for CLE. Attendees and guests must pay the forgoing rates to play in Golf Tournament. Please note that any unregistered guest will not be provided food and will not have access to any Bench Bar events or activities. If an unregistered guest attends events or activities, any attendee who invited the unregistered guest agrees to pay DCBA an additional $600 fee for the unregistered guest.NoAttorney Guest $400Non Attorney Guest $300Guest Name*Total $0.00 Cancellation and Guest Policy*PLEASE NOTE:Due to the nature of this event, many if not all activities and meals are pre-paid or booked based on registration numbers. Last minute or unregistered guests or cancellations will be extremely difficult to accommodate and are not guaranteed.Any unregistered guest will not be provided food and will not have access to any Bench Bar events or activities. If an unregistered guest attends events or activities, any attendee who invited the unregistered guest agrees to pay DCBA an Additional $600 fee for such unregistered guest.CANCELLATION POLICY: There will be NO refunds issued for any cancellations received after March 15th. I have read the cancellation/guest policyTotal $0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms.