2007 CLE Registration Form
(payment section below)
NAME
STATE BAR NUMBER
FIRM/EMPLOYER/SCHOOL
ADDRESS:
EMAIL ADDRESS
DAYTIME PHONE NUMBER
CLE ATTENDANCE: Registration (Member) - $35.00 Join GALA &Register for the CLE - $120.00 Registration (Non-Member) - $75.00 Students - $10.00
PAYMENT AMOUNTS:
I will be sending a check to the address listed below in the amount of
I will be using PayPal below to make a payment in the amount of
I am an attorney and do not want my attendance reported to the State Bar.
(Submit information first then return to this form in order to
make credit/debit card payments.)
PAYMENTS
Checks:
Please make all checks payable to NC GALA Institute for Equal Rights and return to:
P.O. Box 13152
Research Triangle Park, NC 27709
Credit/Debit Cards:
