gavel.gif (3462 bytes) CLE Registration Form

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Please fill out this Registration Form for the CLE event that you wish to attend. Please remember to include the correct date and location of the seminar.

User Information

Weather Notice: In the event of a weather-related cancellation, PaTLA will attempt to contact our pre-registered attendees who have supplied their phone and fax numbers.  You may call the PaTLA office within 24 hours of the date of the course with questions at (215) 546-6451. Refunds:  A refund, less a $25 service fee, will only be given to those cancelling at least 3 business days prior to the date of the program.  Registrants who do not attend or cancel at least 3 business days prior to the course will receive the course materials in full satisfaction of the fees paid.

Please Describe the Course:

Course Name

Date & Location of Course


Enter applicable fee for course
Name: 		 

 

 

 

 
Supreme Ct. ID:
Yr. Admitted to Bar:
Firm:
Street Address:
City
State:
Zip Code:
Telephone:
FAX:
E-mail:

 

Payment and Course  Information

           
 
        Credit Card Type

Credit Card Number



Expiration Date

Services for the disabled:  If special arrangements for a person with a disability are required to attend this course, please contact Jennifer DiMario at (215) 546-6451 at least ten days prior to the course date.

Form Submission

Your Registration Has Been Submitted

Copyright � 2000 PaTLA. All rights reserved.
Revised: February 05, 2023.