Form

PLEASE NOTE: Registration for this event is technically closed.

If you're still interested in attending but have not signed up please submit the form below. Once complete, please email chris@powerliens.com to inquire if your last-minute registration can be accommodated.

Thank you.

BASIC INFORMATION

First Name*

Last Name*

Company*

Email*

Work Phone*

Address 1*

Address 2

City*

State*

Zip*

Would you like a vegetarian meal?*

Yes

No

Position*

Plaintiff Attorney

Defense Attorney

Paralegal

Healthcare Professional

Other

Legal Staff