Online Registration

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Online CLE and Fundraiser Registration Form

(payment section below)

 

NAME

STATE BAR NUMBER

FIRM/EMPLOYER/SCHOOL

ADDRESS:

EMAIL ADDRESS

DAYTIME PHONE NUMBER

CLE ATTENDANCE: 

FUNDRAISER ATTENDANCE:

TICKET FOR THE INSTITUTE FOR EQUAL RIGHTS FUNDRAISER - $25.00

OR

I am a student and will attend the fundraiser for the same $10.00 as my CLE Registration.

 

PAYMENT AMOUNTS:

  I will be sending a check to the address listed below in the amount of

    to pay for which features?

 

  I will be using PayPal below to make a payment in the amount of

    to pay for which features?

  I am an attorney and do not want my attendance reported to the State Bar.

(After pressing submit, click on "return to form" for payments)

PAYMENTS

 

Checks:

 

Please make all checks payable to NC GALA and return to:

P.O. Box 13152

Research Triangle Park, NC  27709

 

Credit/Debit Cards: