SFIPLA Spring Seminar 2012

Registration Form
Pay by Check

Please print the following form, complete it, and mail your check in payment to the address below.

I will attend the June 1-3, 2012 SFIPLA Spring Seminar, and my payment is enclosed:

Name:_________________________________________________
Title:__________________________________________________
State Bar No.:___________________________________________
Firm/Company: _________________________________________
Address:_______________________________________________
City:__________________________________________________
State:_________________________________________________
Zip:_________________________________________________
Telephone: _____________________________________________
Fax: __________________________________________________
Email: ________________________________________________
NAME(S) (FOR BADGES):
Registrant: ____________________________________________
Guest: ________________________________________________

REGISTRATION OPTIONS

PLEASE MAIL COMPLETED FORM ALONG WITH PAYMENT TO:
SFIPLA
237 Kearny Street, Suite #123
San Francisco, CA 94108
Checks must be made payable to SFIPLA.
NOTE:

• Cancellations before May 1, 2012 are possible for a full refund;
• Cancellations on or after May 1, 2012 and before May 15, 2012 are possible with a 50% refund;
• Cancellations on or after May 15, 2012 will result in a ZERO% refund.

Questions? Please call SFIPLA at (415) 249-9249, e-mail us at info@sfipla.com, or contact Ta-Tanisha Henry at ta.henry@dlapiper.com