South Texas College of Law
PERSONAL INJURY LAW CONFERENCE
May 4, 2006
Houston, Texas
and
AUTOMOBILE INJURY CONFERENCE
May 5, 2006
Houston, Texas

Registration Form

Course Accreditations and Registration Information

You must choose one:
Personal Injury Law Conference, May 4, 2006
$275 * for attorneys
$200 * for legal assistants
Automobile Injury Conference, May 5, 2006
$275 * for attorneys
$200 * for legal assistants
Both Conferences - May 4, 2006 & May 5, 2006
$395 * for attorneys
$300 * for legal assistants

* Tuition for both conferences includes continental breakfast, lunch, refreshments and course materials.

Course Materials:
$100 for Personal Injury Law Conference course materials only - hard copy format (includes shipping & handling)
$100 for Automobile Injury Conference course materials - hard copy format (includes shipping & handling)

NOTE: The "First Name," "Last Name," "Address," and "Daytime Phone Number" fields are mandatory.
(Mr./Ms.) First Name
Middle Name
Last Name
Firm Name

Address (Street or P.O. Box)

City
     		State
     		Zip
Texas Bar Card Number
     		Birth Month
Daytime Phone Number

Fax Number
E-mail Address
Send a copy of my registration information to the e-mail address above.
      (Note: Any credit card information you provide below WILL be included.

    Please include me on your mail list (U.S. Mail) for future programs.
    Please include me on your e-mail list (listserv) for future programs.
    Please include me on your fax list for future programs.

Payment method (we accept Visa, MasterCard, or American Express) :

      Please charge my 
 
Account Number (no dashes or spaces)
Exp. Date (mm/yyyy)
Other Information:

      
No data is submitted by previewing this information.