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 or Advertised on Website
$195 : Register & Pay Now BY November 14th, 2014
$245 : Register & Pay AFTER November 14th, 2014
$285 : “Walk-in” Registration or Pay at the site
GROUP OFFER: Call for a discount for 3 or more attorneys who Pre-register & Prepay!
Check for $: (Enclosed and mailed)
Credit or Debit Card #:



Expiration: (Format MM/YY)
Name on card:


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