LAWYERS FOR LIBRARIES ONLINE REGISTRATION FORM

Please submit a separate form for each attendee.

REGISTRATION INFORMATION

I am registering for (which city) 

Name 

Preferred Address 

Continued 

City 

State (abbrev.) 

Zip Code 

Phone 

Fax 

E-mail 

If non-lawyer, name of accompanying lawyer 

PAYMENT INFORMATION

THIS FORM IS ON ALA'S SECURE SERVER.

Cost: $395 for one attendee; $745 for two attendees.


Bill Me (type yes or see below) 

Purchase Order Number 

VISA/MC/AMEX Credit Card Number 

Expiration Date 

Name on Card 

Amount 

Special Needs, Comments, Questions, Etc.