Illinois State Bar Association | Illinois Judges Association December 5 - 7, 2019 Westin O’Hare 6100 North River Road, Rosemont (map and directions) Contact Information Name * Street Address * City * State/Province * ZIP/Postal Code * Telephone Number * E-mail Address * Spouse or Guest Please check if appropriate ISBA Board Member ISBA Board Alumni Assembly Member ISBA Mutual Insured ISBA Past President IJA Member If you are a Fellow of the Illinois Bar Foundation, please select the level - None -FellowSilver FellowGold FellowDiamond FellowPillar of ProfessionPillar of Foundation Registration FeeOnline Registration deadline is November 27th; Early Bird Registration of $75 available until November 22nd; registration after November 22nd is $100, including Onsite. Spouse/guest registration is $50. All Joint Midyear Meeting attendees are required to pay registration, which allows participation in complimentary functions as outlined in the ScheduleJoint Midyear Meeting Registration # Attendees (01) Meeting Registrant @ $75 * After November 22nd will be $100 (02) Spouse/Guest @ $50 Joint/Midyear Meeting Functions (03) Joint Meeting Opening Reception (Thursday) Complimentary (06) IJA/ISBA Joint Program - Work-Life Balance: Is It Possible? (Friday) Complimentary (07) IJA/ISBA Joint Program – Diversity and Inclusion: Professionalism at Work in the Law (Friday) Complimentary (08) IJA Joint Meeting Luncheon (Friday) @ $85 (09) Supreme Court Dinner includes Cocktail Reception and Dinner (Friday) @ $125 (10) Supreme Court Cocktail Reception Only (Friday) @ $25 Payment Information Total Amount Due: Please note: if you are purchasing tickets to only one of the following events: Joint Meeting Luncheon or Supreme Court Dinner the registration fee is included in the total but will be waived prior to our processing. However, participation in any Midyear Meeting event or program, including but not limited to attendance at receptions, Section Council, Committee or Assembly meetings, does require Midyear Meeting registration. Total Amount Due Credit Card Number Expiration Month - None -01 (January)02 (February)03 (March)04 (April)05 (May)06 (June)07 (July)08 (August)09 (September)10 (October)11 (November)12 (December) Expiration Year - None -20192020202120222023202420252026 From time to time at ISBA events, the ISBA, its vendor partners, or others may take photographs of participants, attendees, and guests for use in their marketing or promotional materials or news publications. By registering for such events, you are consenting to the use of your, and your guests', photograph and name without compensation. Any photographs taken will be the sole property of the ISBA or entity taking the photograph.