OFFICIAL ONLINE REGISTRATION FORM

Please Join Us As We Celebrate and Present the

Charles A. Rapallo and Justice Antonin Scalia Award to the

HONORABLE ANTHONY CANNATARO

Chief Judge

of the State of New York, Court of Appeals

DATE: Friday, April 14, 2023

TIME: 12:30 p.m. - 1:30p.m. Reception

1:30p.m. - Luncheon and Award Ceremony

PLACE: Pierre Hotel
2 East 61st Street, New York, NY 10065
(at Fifth Avenue)

ATTIRE: Business Professional

COST: Tables of 10 *Checks preferred for table purchases*

*If you would like to purchase a table, please send your checks to:

Columbian Lawyers Association, 1st Jud. Dept.

c/o Aidala, Bertuna & Kamins, P.C., 8118 13th Avenue, Brooklyn, NY 11228

$3,750.00 (First row)

$3,250.00 (Second row)

$3,000.00 (3rd row)

$2,850.00 (4th row)

$2,750.00 (5th Row)

* Prices to increase on April 1, 2023

(Please Note: All Ticket Pricing is Based Upon Seating Location. )

SEATING & PRICING FOR EVENT

YOUR CONTACT INFORMATION

First Name

Last Name

Firm Name/Employer

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Cell Phone Number (If we need to reach you on the day of the event)

Fax Number

Email Address

Save & Return Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish. The account you establish is only for this form.

RSVP & PAYMENT INFORMATION

TYPE THE QUANTITY & LEVEL OF TABLE YOU ARE PURCHASING.
(If you are purchasing individual tickets only, please select NONE)

Tables of 10 *Checks preferred for table purchases*
General admission tickets are $285 if paying by check, please send check to:

Columbian Lawyers Association, 1st Jud. Dept.

c/o Aidala, Bertuna & Kamins, P.C., 8118 13th Avenue, Brooklyn, NY 11228

🛈

	None
	GOLD SPONSOR ROW 1 TABLE (Seating 10) $3,750
	SILVER SPONSOR ROW 2 TABLE (Seating 10) $3,250
	ADVOCATE ROW 3 TABLE (Seating 10) $3,000
	BENEFACTOR ROW 4 TABLE (Seating 10) $2,850
	GENERAL ROW 5 TABLE (Seating 10) $2,750

TYPE THE QUANTITY AND LEVEL OF THE INDIVIDUAL TICKETS YOU ARE PURCHASING.

🛈

	Tickets in ROW 1 ($375 ea)
	Tickets in ROW 2 ($350 ea)
	Tickets in ROW 3 ($325 ea)
	GENERAL ADMISSION TICKETS - Rows 4 and 5 ($295 ea)

ARE YOU ALSO PURCHASING A JOURNAL ADVERTISEMENT?
***ALL JOURNAL ADS MUST BE PURCHASED BY APRIL 10 , 2023
Please email to: Columbianlawyers1st@gmail.com

Columbian Lawyers Association, First Judicial Department, Inc., is a 501(c)(3) non-profit.

Address: 8 East 69^th Street, New York, NY 10021

Tax ID number: 88-1121211

NUMBER OF JUDGES YOU ARE SPONSORING?
All invitations are sent directly by the Association. All sponsors will be recognized in our Journal.
🛈

Number of Judges @ $150.00 ea.

NAMES OF PEOPLE ATTENDING (or "Guest of")

Guest One (First & Last Name):

Guest Two (First & Last Name):

Guest Three (First & Last Name):

Guest Four (First & Last Name):

Guest Five (First & Last Name):

Guest Six (First & Last Name):

Guest Seven (First & Last Name):

Guest Eight (First & Last Name):

Guest Nine (First & Last Name):

Guest Ten (First & Last Name):

PAYMENT INFORMATION

TO PAY VIA CREDIT CARD or CHECK please click the "CONTINUE" button. It will take you to a screen where you can select PayPal/Credit Card Payment or Mail in a Check.

PLEASE NOTE THE PAY PAL OPTION WILL ALLOW YOU TO PAY DIRECTLY WITH A CREDIT/DEBIT CARD WITHOUT THE USE OF PAY PAL.

Please include any comments or special requests here: