IMLA’s Mid Year SeminarOmni Shoreham Hotel È È È È È Washington, DC È È È È È April 18-20, 2010

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REGISTRATION INFORMATION

Name_______________________________________________ Title_________________________________________________

Badge Name__________________________ Local Government Entity _______________________________________________

Address__________________________________________________________________________________________________

City ______________________________________ State ____________________ Zip __________________________________

Phone_________________________ Fax _______________________ E-mail________________________________________

Guest Name_________________________________________ Guest Badge Name___________________________________ (Complete only if registering Guest) Badges are required for all functions.

Please indicate your registration type and options listed below (check all that apply)

” Guest Registrant(see below) ” Luncheon Ticket(s) $40.00 each, No. of ticket(s) _________ (only guest need to purchase)

” CLE Credits, please specify state(s) _________________ Your Bar No’s._____________________________________

Registration Fees include: Admission to all sessions, all workshops, seminar materials, Sunday night reception, Monday’s luncheon and all coffeebreaks (not applicable to guest). Guest Fees include: Attendance at the Sunday night reception, Monday’s hospitality suite.Cancellation / Refund Policy: Cancellations must be received in writing by March 1, 2010 to qualify for a refund. All cancellations are subject to a$50.00 administrative processing fee. After March 1, 2010 those not attending will receive the event materials in full consideration of registration feespaid. Replacements are always welcomed. Guest cancellations are subject to a $25.00 administrative processing fee. All refunds will be remitted 90days after the event. Send all cancellations in writing to IMLA Events Department.

Super Early Saver Rate Bird Rate Regular

Registration Ends Ends Rate End After Type 01/15/10 3/15/10 03/31/10 03/31/10

First Member $400 $450 $600 $650

Addt’l. Member $350 $400 $450 $6003 or More FromSame OfficeEach person $275 $325 $400 $450

Judicial $339 $339 $339 $339

Nonmember $890 $995 $1,069 $1,098

Guest of Seminar Registrant $100 $100 $150 $200

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” Bill Me ” Check Enclosed ” Visa ” Master Card

Make all checks payable to IMLA; U.S. currency only.

Amount $_____________________________________

Name__________________________________________________

Account No._____________________________________________

Expiration Date____________ 3 Digit Security Code______________

Signature_______________________________________________

For program updates & to register online visit our web site: http://www.imla.org

NOTE NEW POLICY: Discounted Registration Fees-Expire 15 Days After Rate Ends, If Payment Is Not Received, Next Rate WillApply.The discounted registration fees below are available for those staying in IMLA Seminar Hotel, otherwise $100 will be added toyour registration fee to help defray IMLA Seminar expenses (local attendees exempt from $100). Seminar payment must be receivedwithin 15 days. To process credit cards payments, please provide IMLA with your card three digit security code.

NEW - CD/HARD COPY POLICY* Registration fees include USB of speakers materials. These materials will also be available forregistrants from IMLA’s web site one to two weeks prior to the meeting. If you require paper copies of speaker materials you must addan additional $120 to your registration fee and check here. ”””””

KFFFFFOUR EASOUR EASOUR EASOUR EASOUR EASY WY WY WY WY WAAAAAYYYYYS TS TS TS TS TO REGISO REGISO REGISO REGISO REGISTER!TER!TER!TER!TER! MAIL: IMLA, 7910 Woodmont Avenue, Suite 1440, Bethesda, MD 20814 PHONE: 202-466-5424 FAX: 202-785-0152 E-MAIL: info@imla.org