Please provide the following contact information:

Name
Firm
Street Address
Mailing Address
City
State
Zip
Phone
FAX
E-mail

I would like to register for the following CLE(s):

Payment

           I am a current volunteer    »    FREE          

           Sign me up to volunteer!   »    FREE                  

           I will pay the CLE fee         »    $60

                      (please make checks payable to the Volunteer Lawyers Program

                      and mail to the VLP or bring to the CLE with you)

Please add any other questions or comments you may have: