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Defending DUIs Registration Form
Friday, December 14,
2007
SeaTac Doubletree Inn
7 CLE Credit Hours
(Including 1.0 Ethics Credit)
Fill this form out only if you're
(1) paying by check; or (2) faxing or mailing in a credit card
number. Program cost is $325 for private attorneys and $175 for
full-time public defenders.
CONTACT INFORMATION
| _____________________________________________________
| Name
|
WSBA
# |
| _____________________________________________________
| Address |
| _____________________________________________________
| City
|
State
|
Zip
|
| _____________________________________________________
| Phone
|
E-Mail |
CREDIT CARD INFORMATON
| _____________________________________________________
| Name on
card |
VISA/Mastercard |
| _____________________________________________________
| Card
number |
Expires |
I certify that I am not a
full or part-time prosecutor, or employed in law enforcement or the DOL in
any capacity.
| _____________________________________________________
| Signature |
Date
|
Cancellation Policy:
80%
refund if received in writing no later than December 7th, 2007.
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