| Name: |
* |
| Mailing Address: |
* |
| City: |
* |
| State: |
* |
| Zip: |
* |
| Telephone: |
* |
| Fax: |
* |
| Email: |
* |
| I will attend in (City, State): |
* |
| Date: |
* |
| FEE & PAYMENT – If you prefer to register by telephone call 800-826-7681 |
|
Enter Any “Special Offer” Sent To You
|
|
$285 : Preregister & Prepay Now |
|
$305 : Preregister Now & Pay at site or Walk-in w/o Preregistration |
|
$225 : THE VIDEO COURSE (Free Shipping) |
| GROUP OFFER: Call for a discount for 3 or more attorneys who Pre-register & Prepay! |
| Check for $: |
(Mailed) |
| Credit or Debit Card #: |
|
| Expiration: |
(Format MM/YY) |
| Name on card: |
|
    |
|
|
