cle luncheon registration

First Name:
Last Name:
Employer:
Email:
Meal Choice:
Baked Organic Chicken
Grilled Salmon
Grilled Pork Loin
Seasonal Vegetarian Polenta
Registration Type:
General – $40
General w/$10 Add on to Contribute to Annual Law Day Dinner – $50
General w/$20 Add on to Contribute to Annual Law Day Dinner – $60
Student/Teacher – $25
Total Due:
Payment Method (payment instructions will be given on page after submitting):
 Credit Card
 Check
Please check box then submit