Registration


Cost: $150.00 / CLE Credit: 4.75 hours

Application Deadline: December 3, 2004
Please use a separate form for each registrant
Make checks out to: NCICL-CLE

To use the following application: Please print and fill-in by hand.
Mail the form and a check for the total number of registrants to:

NCICL
Justice Robert F. Orr, Executive Director
PO Box 17204
Raleigh NC 27619-7204

To download a word document
Click Here

Print Full Name:
Firm/Agency
Name:
Street Address:
PO Box:
City:
State:
Business Phone:
Business Fax:
E-mail:
Company
Web Site:
NC State
Bar Number:
Signature: