1. TODAY'S DATE:
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Day
Year
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KING'S FRIDAY WEBINARS
1.5 TO 2 OWERS LIVE OR RECORDED
2. ENROLLEE'S NAME:
First Name
Last Name
The enrollee will be the professional who will attend the weinar:
YES
NO:
UNDECIDED AT THIS TIME
OTHER
3. ENROLLEE'S PROFESSIONAL STATUS:
BANKRUPTCY ATTORNEY
TAX ATTORNEY
ATTORNEY STAFF (paralegal, etc.)
CREDITOR'S ATTORNEY
TRUSTEE
TRUSTEE'S ATTORNEY
OTHER CATEGORY OF ATTORNEY
BANKRUPTCY JUDGE
PUBLIC LAW LIBRARIAN
ACADEMIC / RESEARCH / INSTRUCTOR
AUTHOR / EDITOR
PROFESSIONAL BANKRUPTCY ORGANIZATION
LAW STUDENT
4. ENROLLEE'S BEST PHONE NUMBER:
5. ENROLLEES'S CURRENT STATE OF RESIDENCE:
6. ENROLLEE'S PHYSICAL STREET ADDRESS:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
7. ENROLLEE'S EMAIL ADDRESS:
example@example.com
8. SELECTION(s):
HANDLING A CHAPTER 7 CONSUMER BANKRUPTCY CASE $ 1,959.00
ADD TESTING $ 1,000
THE MEANS TEST (no testing) $ 299.00
OTHER AMOUNT
8a OTHER AMOUNT:
9a PAY BY CREDIT CARD:
NAME ON C:ARD
CC ADDRESS:
City
State / Province
Postal / Zip Code
9b. TYPE OF CREDIT CARD:
DSCOVER
AMERICAN EXPRESS
MASTERCARD
VISA
OTHER
9c. IF OTHER CARD:
9d. CREDIT CARD NO.:
9e. CC SECURITY CODE:
9f. CC EXPIRATION DATE:
10a. PREVIOUS 2020 or 2021 ENROLLMENT:
I enrolled in a seminar 2021 or 2022 that was cancelled
I enrolled in a seminar in Boston in 2020 that was cancelled
I enrolled in a seminar in Las Vegas in 2200 that was cancelled
I enrolled in a seminar in Las Angeles in 2020 that was cancelled
Other seminar in 2020
No seminars enrolled in 2020 or 2021
10b. Amount $ paid for enrollment in 2020 or 2021 for cancelled seminar:
17. SEND US DOCUMENTS (if any):
Browse Files
Cancel
of
18. Signature:
COPY LETTERS AT RIGHT INTO BOX BELOW AND HIT "SUBMIT"
*
Submit to Mr. King
Print Form
Should be Empty: