order form

MAIL
PBI, 5080 Ritter Rd.
Mechanicsburg, PA
17055-6903
TO REGISTER FOR A WALK-IN SEMINAR:
Location & Date/Session (including times)
Seminar Title
Tuition Fee
PHONE
As a member of both PBA and the _______________ county bar association, I have enclosed my discount coupon in the amount of $______
AMEX, VISA, Discover
or MasterCard
registrations to
(717) 796-0804
(800) 932-4637
(800) 247-4724
FAX
for my: r 1st r 2nd r 3rd r 4th r 5th PBI seminar.
r If the course book I am receiving has an automatic update service, please enroll me in that service.
NOTE: If you are registering for one day of a two-day Institute, please specify which day: ______________________________________________
AMEX, VISA, Discover
or MasterCard
registrations to
(717) 796-2348
ONLINE
TO REGISTER FOR A LIVE WEBCAST: GO TO CATALOG.PBI.ORG
Register online with your
AMEX, VISA, Discover
or MasterCard
TO REGISTER FOR ONLINE CLE: GO TO CATALOG.PBI.ORG
The CLE Board permits you to earn up to six credits by distance education, including live webcasts (sorry: distance credits cannot be carried forward).
Go to catalog.pbi.org to test your computer system and register (note: online tuition differs from walk-in tuition). Important note: Call Customer Service
about credit in other jurisdictions or in other professions.
AT THE DOOR
Register at the door
(please call ahead to
confirm date, time, location
& space availability)
TO ORDER BOOKS, CDS & DVDS:
QTY. ITEM # BOOK/CD TITLE
PLEASE NOTE
PRICE
AMOUNT
Shipping & Handling
$8.00
One copy of the course
book is included with
your registration.
Upon request, we will ship orders by next-day air for $25 per order (order must be placed with our customer
service representative by 2:00 p.m. EST for next-day shipping).
A ten-day return privilege applies to all book orders, less a shipping/handling and restocking fee of $8.00
plus applicable state sales tax for all domestic orders. The ten-day return privilege does not apply to CDs or
disks. However, we will be happy to replace defective disks at no charge to the customer.
Subtotal
Total
r If the book I am ordering has an automatic update service, please do not enroll me in that service.
Name
In order to keep our files accurate
and to ensure uninterrupted delivery
of PBI mailings, please use the
coupon below to inform us if you
change firms or offices. Or call the
PBI Customer Service Department
at 1.800.247.4724.
Attorney #
r PBA Member
r County Bar Member
r CPA
r Paralegal
r Judicial Staff
ADDRESS
CHANGE?
Add 6% Pa. Sales Tax
r Other
Name
Firm
Attorney #
Address
Phone (
City
)
-
Fax (
State
)
Zip
New Firm Address
-
New Firm Phone
Email address
A CHECK made out to PBI for $
New Firm Fax
is enclosed
New Email
Date Effective
CHARGE my: r American Express r MasterCard r Visa r Discover
Card #
Signature
New Firm
Exp.
Please mail address changes to:
PBI, 5080 Ritter Rd.,
Mechanicsburg, PA 17055
Please allow up to six weeks
for address change to take effect.
800-932-4637 | WWW.PBI.ORG