2016 WINTER MEETING REGISTRATION FORMFebruary 28 - March 4, 2016 | Hotel Del Coronado, San Diego, California

Last Name: __________________________________________ First Name: __________________________________________ MI: ____________

Firm Name: ________________________________________________ Name on Badge: ________________________________________________

Address: _______________________________________ City: _____________________________ State: __________ Zip: __________________

Country: ___________________________________ Phone: _____________________________ Email: ____________________________________

Home Address: ____________________________________________________________________________________________________________

Cell Phone: _______________________ State Bar/CLE No: ______________________ ; ____________________ ; _________________________

Arrival Date: _____________________ Departure Date: _______________________ Hotel: The Del q Other _______________________________

Special Needs (Dietary restrictions, allergies, etc.): ________________________________________________________________________________

REGISTRATION FEESRegistration Type Registration Fee Total

Defense Counsel Member or Non-Member Guest ........................ $1295 ..................................................... $ _____________________

Corporate/Industry Member ............................................................. $695 ..................................................... $ _____________________

Spouse/Companion of Member ....................................................... $595 ..................................................... $ _____________________

21+ years ......................................................................................... $595 ..................................................... $ _____________________

18-20 ............................................................................................... $495 ..................................................... $ _____________________

12-17 ............................................................................................... $425 ..................................................... $ _____________________

5-11 ................................................................................................. $255 ..................................................... $ _____________________

Under 4 ........................................................................................... comp ..................................................... $ _____________________

*Charm: .......................................................................... __________ @ $150 .................................................. $ _____________________

*To keep registration costs from increasing, charms are no longer included in the registration fee and must be pre-ordered.

_________________________________________________________________ *Email: ________________________________________________

Registered Spouse/Companion (First, Last & Badge Name) *(spouse email for conference correspondence)

_________________________________________________________________________________________________________________________ Child’s First (Badge Name) and Last Age

_________________________________________________________________________________________________________________________ Child’s First (Badge Name) and Last Age

_________________________________________________________________________________________________________________________ Child’s First (Badge Name) and Last Age

REGISTRATION TYPE (PLEASE CHECK)

DEFENSE COUNSEL MEMBER q CORPORATE OR INDUSTRY MEMBER q NON-MEMBER GUEST q

Is this the FIRST meeting as a member? Yes q    SECOND meeting as a member? Yes q

DEFENSE LAWYERS. DEFENSE LEADERS.

MAIN EVENTS (included in the Full Registration Fees) (Please indicate the number attending each event)

Monday, February 29, 2016.......... President’s Reception (Adults & 16+ yrs.): ________

Mon. Eve. Child/Youth Activity & Dinner (5-8 yrs) _______ (9-12 yrs) _______ (13-15 yrs) _______

Tuesday, March 1, 2016 ............... Dessert Party (Over 21): ________ (Under 21): ________

Wednesday, March 2, 2016 .......... Speakeasy Theme Party (Adults & 16+ yrs.): ________

Wed. Eve. Child/Youth Activity & Dinner (5-8 yrs) _______ (9-12 yrs) _______ (13-15 yrs) _______

Thursday, March 3, 2016 .............. Dinner Dance (Adults & 16+ yrs.): ________

Beef _______ Fish _______ Vegetarian _______ (please designate the number of each)

Thurs. Eve. Child/Youth Activity & Dinner (5-8 yrs) _______ (9-12 yrs) _______ (13-15 yrs) _______

OPTIONAL ACTIVITIES (Please indicate the number attending each event)

Monday, February 29, 2016 FEE NUMBER AMOUNT

10:30 – 11:30am ................................................... Spouse Hospitality @ ..........No Charge _________ $ ______________

12:30 – 4:00pm .......................................................................Rowing @ .................. 93.00 _________ $ ______________

12:30 – 5:00pm .................................... Stars and Stripes Sailing Trip @ ................ 143.00 _________ $ ______________

1:30 – 2:30pm ...................................................................Martial Arts @ .................. 55.00 _________ $ ______________

1:30 – 5:00pm ...........................................................................Bridge @ .................. 20.00 _________ $ ______________

3:00 – 4:00pm ...................................................................Martial Arts @ .................. 55.00 _________ $ ______________

Tuesday, March 1, 2016

8:30 – 9:30am .....................................................Yoga w/Vicki Gaebe @ .................... 2.00 _________ $ ______________

10:30am ......................................... Walking Tour of Coronado Island @ .................. 20.00 _________ $ ______________

12:30 – 4:00pm ..................... Tennis Tournament (A or B Player___) @ .................. 63.00 _________ $ ______________

12:30 – 4:00pm .......................................................................Rowing @ .................. 93.00 _________ $ ______________

12:30 – 4:30pm ................................... Stars and Stripes Sailing Trip @ ................ 143.00 _________ $ ______________

1:00 – 5:00pm ................................................................ Midway Tour @ ................. 42.00 _________ $ ______________

2:00pm ........................................... Walking Tour of Coronado Island @ ................. 20.00 _________ $ ______________

2:00pm ...................................................................... Surfing Lessons @ ................. 50.00 _________ $ ______________

3:00pm ...................................................................... Sandcastle Man @ ................. 25.00 _________ $ ______________

Wednesday, March 2, 2016

8:30 – 9:30am .............................................................................Yoga @ ................... 2.00 _________ $ ______________

10:00 – 11:30am ................................................................ Book Club @ ..........No charge _________ $ ______________

12:30 – 4:30pm .................................... Stars and Stripes Sailing Trip @ ............... 143.00 _________ $ ______________

12:30 – 5:30pm ......................... Golf Tournament (Handicap______) @ ............... 208.00 _________ $ ______________

1:00 – 2:00pm ............................................ Hand Craft and Company @ ..........No charge _________ $ ______________

1:45 – 4:00pm ....................................Paddleboard at Tidelands Park @ ................. 78.00 _________ $ ______________

2:00 – 3:30pm .................................................... Historical Hotel Tour @ ................. 20.00 /person _________ $ ______________

Thursday, March 3, 2016

7:00 – 8:00am ....................................................................... Fun Run @ ..........No charge _________ $ ______________

8:30 – 9:30am .............................................................................Yoga @ ................. $2.00 _________ $ ______________

12:30 – 4:30pm

1) Stars and Stripes Sailing Trip ................................................... @ ............... 143.00 _________ $ ______________

2) Zoo ........................................................................................... @ ................. 72.00 /adult _________ $ ______________

...................................................................................................... @ ................. 63.00 /3-11 years _________ $ ______________

3) Mike Neil Historical Tour of San Diego (24) ............................. @ ................. 28.00 _________ $ ______________

GRAND TOTALS (Please total all fees including the administrative fee)

Registration Fees: (Add) ......................................................................................... (+) $___________________

Optional Activity Fees: (Add) .................................................................................. (+) $___________________

Administrative Fee: (Add) ....................................................................................... (+) $___________________

Grand Totals: .............................................................................................*TOTAL DUE: $___________________

PAYMENT OPTIONS (Check one) AMEX q   VISA q MC q

Credit Card Payment

Credit Card #: _______________________________________________________ Exp. Date: ____________________________________________

Code: ________________________________________Name on Card: _______________________________________________________________

Billing Address: ____________________________________________________________________________________________________________

*Signature: ________________________________________________________________________________________________________________ *(I authorize the FDCC to bill my credit card for all registration fees)

Check Payment (Deduct $75 from the *total due only if paying by check)

Mail registration information form, along with check to: FDCC Winter 2016 Meeting 11812 N. 56th Street Tampa, FL 33617 USA

You will receive an email confirmation after your registration is received and processed.

CANCELLATION POLICY

We hope you will not have to cancel or ask for a refund once you have registered for the conference. We realize, however, that trial schedules and last minute emergencies may require cancellation and a request for a refund. Please be advised of the Board approved refund policies.

1) A refund of registration fees, less $75 and any applicable credit card fees, will be given if written the FDCC office no later than January 16, 2016.

2) No refunds will be given if notice of cancellation is received by the FDCC office after January 16, 2016.

3) Amounts refunded by payments made by credit card will include a deduction for the amount the credit card company charges to the FDCC for both the

charging and the credit.

4) In the event of “special circumstances,” such as illness, or unforeseen family or professional emergencies and the like, this refund policy may be sus-

pended or modified (based upon the member’s written request), only by the action of the President upon recommendation of the Convention Chair. It is recommended that all registrants get trip cancellation insurance.

5) To cancel hotel reservations, call the hotel directly at 855-268-1219. The Convention Chair has no authority to modify the hotel’s cancellation and refund policies.

6) Charges paid to the FDCC for separate events and/or tours may or may not be refunded in whole or in part. The decision to refund these will be made on a case-by-case basis by the Convention Chair. Members seeking reimbursement for these payments must submit a written request to the Convention Chair. The decision to refund fees will be based, in part, upon the timing of the cancellation and whether there are available convention funds from which to make the refund. Please note that refunds of any payments to independent third parties for tours and other events and services are no the responsibility of the FDCC.

75.00