THREE WAYS TO REGISTER REGISTRATION ONLINE The Mind And Criminal Defense credit card only A Program For The Defense www.cailaw.org July 26-27, 2012 FAX at The Center for American and International Law • Plano, Texas credit card only Attendance is limited to criminal defense attorneys and those who directly assist them in 972.244.3401 criminal defense litigation. Tuition includes classes, lunch and materials. MAIL Mark the appropriate boxes: o I am a licensed Texas criminal defense attorney who regularly represents indigent check or credit card defendants in Texas criminal matters. (Provide your Texas Bar number below.) The Center for American and o $20.00 Tuition only * International Law 5201 Democracy Drive o $40.00 Tuition plus a voluntary payment to support Plano, TX USA 75024 The Center for American and International Law. Voluntary payments will go directly to The Center’s private fund account. 972.244.3400 o I request a tuition waiver (Leave payment information blank below) CONFIRMATIONS WILL BE SENT o I am a criminal defense attorney who is not in the above category or I directly assist TO ALL REGISTRANTS criminal defense attorneys in criminal defense litigation. PAYMENT MUST ACCOMPANY REGISTRATION o $90.00 Tuition only * o $110.00 Tuition plus a voluntary payment to support The Center for American and International Law. Voluntary payments will go directly to The Center’s private fund account. GENERAL INFORMATION Name_______________________________________________________________________ CANCELLATION POLICY: Written notice must be received 5 business days prior to the program Firm/Organization_____________________________________________________________ (Email: email@example.com). After this date, no refunds, but substitution of attendees for Address______________________________________________________________________ this program will be permitted with prior approval. Call 972.244.3415. Registrants not City, State, Postal Code_________________________________________________________ entitled to a refund will receive the course Phone ______________________________________________________________________ materials. Fax ________________________________________________________________________ NONDISCRIMINATION POLICY: The Center for American and International Law does not E-mail ______________________________________________________________________ discriminate on the basis of race, sex, sexual orientation, color, religion, national origin or Texas Bar No. ________________________________________________________________ ancestry, age, disability, veteran status or any other protected status. Payment Information o Check enclosed payable to: The Center for American and International Law Credit Card: o Mastercard o VISA o AMEX o Discover * Tuition will be used to cover future expenses Card number ________________________________________________________________ of The Center’s Criminal Law grant programs or to provide for items that the grant cannot Expiration date _______________________________________________________________ sufficiently cover. Name on card _______________________________________________________________ Billing address (if different than above address) ____________________________________ ____________________________________________________________________________ Signature ___________________________________________________________________ WEB This course is funded by a grant from The Texas Court of Criminal Appeals. We’re going GREEN! Most materials will be provided on a CD or electronically instead of in a notebook.
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