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16th Annual Educational Seminar Registration Form

16th Annual Educational Seminar Registration Form

Complete and return by August 26, 2005, to:
Central Illinois Paralegal Association
ATTN: Seminar Registration Amount Enclosed: $___________
PO Box 1948
Bloomington, IL 61702-1948

Late Registration after August 26, 2005: call Lisa Craghead at (309) 766-1936 or fax to (309) 766-7423 or
e-mail to lisa.craghead.nhw8@statefarm.com, or call Ann Hill at (309) 766-0784 or Carol Hager at (309) 766-4611


Please make check payable to: Central Illinois Paralegal Association

Name:______________________________________________________________ CLA or CLAS? (Circle if applicable)
Firm Name:__________________________________________________________________
Address:_____________________________________________________________________
City, State, Zip:_______________________________________________________________
Daytime Phone Number:______________________ Email:____________________________

FEES
Early Registration Registration postmarked after August 26, 2005

CIPA Member: $85.00 CIPA Member: $ 95.00
Non-Member: $95.00 Non-Member: $105.00
Student: $45.00 Student: $ 45.00
Registration fee includes continental breakfast and lunch.

Travelers Please Note: Discounted rate rooms are available for $69, $79, $85 or $149 per night.
Contact Eastland Suites directly at (309) 662-0000 or 1 (800) 53-SUITE for reservations.







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