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CALIFORNIA LAWYERS ASSOCIATIONWORKERS’ COMPENSATION SECTION
CALIF
ORNI
A LA
WYE
RS A
SSOC
IATIO
N
Wor
kers
’ Com
pens
atio
n Se
ctio
n 40
0 Ca
pito
l Mal
l, Su
ite 6
50Sa
cram
ento
, CA
9581
4
2020 SPRING EDUCATION CONFERENCEApril 4, 2020 • Renaissance Walnut Creek, Walnut Creek, CAMay 9, 2020 • Newport Beach Marriott, Newport Beach, CA
REGISTRATION FORMNote: One registrant per form. Photocopies may be used. Walnut Creek: April 4, 2020 Newport Beach: May 9, 2020Bar Number: _______________________________________________________________________________________________Name: _______________________________________________________________________________________________________Firm: ________________________________________________________________________________________________________Firm Address: ______________________________________________________________________________________________City, State:__________________________________________________________ Zip Code: ___________________________Phone Number: ___________________________________________________________________________________________Email Address: _____________________________________________________________________________________________
Emergency Contact InformationName: _______________________________________________________________________________________________________Phone Number: ___________________________________________________________________________________________
Program package includes 6.0 hours of MCLE and legal specialization credits in Workers’ Compensation, program materials, continental breakfast and lunch. Check here if you do not want your information released.
PRE-REGISTRATION FEES (check the appropriate circle)o $295 Workers’ Compensation Section Memberso $390 Non-Section Members (includes enrollment in the Workers’ Compensation Section)o $195 Claims Specialisto $95 CYLA**Onsite registration fees are $345 for Section Members and $440 for Non-Section Members
AMOUNT ENCLOSED OR TO BE CHARGED $_________________
REGISTRATION INFORMATIONDEADLINE: In order to pre-register, your form and check, payable to California
Lawyers Association, or credit card information, must be received by 7 days prior to the program.
REGISTER ONLINE: CALAWYERS.ORG/WORKERSCOMP
MAIL TO: Program Registrations, California Lawyers Association 400 Capitol Mall, Suite 650, Sacramento, CA 95814
EMAIL TO: Program Registrations at [email protected]. In order to email your registration, credit card information is MANDATORY. (Photocopies of checks will NOT be accepted.)
CREDIT CARD INFORMATION (VISA/MASTERCARD ONLY)I authorize California Lawyers Association to charge my program registration to my VISA/MasterCard account. (No other credit card will be accepted.)Account Number: _________________________________________________________________________________________Expiration Date: ___________________________________________________________________________________________Cardholder’s Name: _______________________________________________________________________________________Cardholder’s Signature: __________________________________________________________________________________
(Required for email confirmation)
(VISA or MasterCard only)
California Lawyers Association is an approved State Bar of California MCLE providers.
R e g i s t e r O n l i n e C A L A W Y E R S . O R G / W O R K E R S C O M P 2020
SPR
ING
ED
UCAT
ION
CONF
EREN
CESA
TURD
AY, A
PRIL
4, 2
020
REN
AIS
SAN
CE W
ALN
UT
CREE
K28
05 Jo
nes
Rd, W
alnu
t Cre
ek, C
A 94
597
SATU
RDAY
, MAY
9, 2
020
NEW
PORT
BEA
CH M
ARR
IOTT
900
New
port
Cen
ter D
rive,
New
port
Bea
ch, C
A 92
660
Earn
6.0
Hou
rs M
CLE
and
Lega
l Spe
cial
izati
on C
redi
ts
REG
ISTE
R O
NLI
NE:
CALA
WYE
RS.O
RG/W
ORK
ERSC
OM
P
EARN 6.0
HOURS MCLE CREDIT &
LEGAL SPECIALIZATION CREDITS
SATURDAY, APRIL 4, 2020Renaissance Walnut Creek2805 Jones RdWalnut Creek, CA 94597
SATURDAY, MAY 9, 2020Newport Beach Marriott900 Newport Center DriveNewport Beach, CA 92660
Register Online: CALAWYERS.ORG/WORKERSCOMP
2020 SPRING EDUCATION CONFERENCE
CALIFORNIA LAWYERS ASSOCIATIONWORKERS’ COMPENSATION SECTION
CALIF
ORNI
A LA
WYE
RS A
SSOC
IATIO
N
Wor
kers
’ Com
pens
atio
n Se
ctio
n 40
0 Ca
pito
l Mal
l, Su
ite 6
50Sa
cram
ento
, CA
9581
4
2020 SPRING EDUCATION CONFERENCEApril 4, 2020 • Renaissance Walnut Creek, Walnut Creek, CAMay 9, 2020 • Newport Beach Marriott, Newport Beach, CA
REGISTRATION FORMNote: One registrant per form. Photocopies may be used. Walnut Creek: April 4, 2020 Newport Beach: May 9, 2020Bar Number: _______________________________________________________________________________________________Name: _______________________________________________________________________________________________________Firm: ________________________________________________________________________________________________________Firm Address: ______________________________________________________________________________________________City, State:__________________________________________________________ Zip Code: ___________________________Phone Number: ___________________________________________________________________________________________Email Address: _____________________________________________________________________________________________
Emergency Contact InformationName: _______________________________________________________________________________________________________Phone Number: ___________________________________________________________________________________________
Program package includes 6.0 hours of MCLE and legal specialization credits in Workers’ Compensation, program materials, continental breakfast and lunch. Check here if you do not want your information released.
PRE-REGISTRATION FEES (check the appropriate circle)o $295 Workers’ Compensation Section Memberso $390 Non-Section Members (includes enrollment in the Workers’ Compensation Section)o $195 Claims Specialisto $95 CYLA**Onsite registration fees are $345 for Section Members and $440 for Non-Section Members
AMOUNT ENCLOSED OR TO BE CHARGED $_________________
REGISTRATION INFORMATIONDEADLINE: In order to pre-register, your form and check, payable to California
Lawyers Association, or credit card information, must be received by 7 days prior to the program.
REGISTER ONLINE: CALAWYERS.ORG/WORKERSCOMP
MAIL TO: Program Registrations, California Lawyers Association 400 Capitol Mall, Suite 650, Sacramento, CA 95814
EMAIL TO: Program Registrations at [email protected]. In order to email your registration, credit card information is MANDATORY. (Photocopies of checks will NOT be accepted.)
CREDIT CARD INFORMATION (VISA/MASTERCARD ONLY)I authorize California Lawyers Association to charge my program registration to my VISA/MasterCard account. (No other credit card will be accepted.)Account Number: _________________________________________________________________________________________Expiration Date: ___________________________________________________________________________________________Cardholder’s Name: _______________________________________________________________________________________Cardholder’s Signature: __________________________________________________________________________________
(Required for email confirmation)
(VISA or MasterCard only)
California Lawyers Association is an approved State Bar of California MCLE providers.
R e g i s t e r O n l i n e C A L A W Y E R S . O R G / W O R K E R S C O M P 2020
SPR
ING
ED
UCAT
ION
CONF
EREN
CESA
TURD
AY, A
PRIL
4, 2
020
REN
AIS
SAN
CE W
ALN
UT
CREE
K28
05 Jo
nes
Rd, W
alnu
t Cre
ek, C
A 94
597
SATU
RDAY
, MAY
9, 2
020
NEW
PORT
BEA
CH M
ARR
IOTT
900
New
port
Cen
ter D
rive,
New
port
Bea
ch, C
A 92
660
Earn
6.0
Hou
rs M
CLE
and
Lega
l Spe
cial
izati
on C
redi
ts
REG
ISTE
R O
NLI
NE:
CALA
WYE
RS.O
RG/W
ORK
ERSC
OM
P
EARN 6.0
HOURS MCLE CREDIT &
LEGAL SPECIALIZATION CREDITS
SATURDAY, APRIL 4, 2020Renaissance Walnut Creek2805 Jones RdWalnut Creek, CA 94597
SATURDAY, MAY 9, 2020Newport Beach Marriott900 Newport Center DriveNewport Beach, CA 92660
Register Online: CALAWYERS.ORG/WORKERSCOMP
2020 SPRING EDUCATION CONFERENCE
