WEM Registration Form

Conference Online Registration

Please fill out the form below.
Full Name*

First NameLast Name
Law Firm*
What firm are you with? Type N/A if company or 3rd party neutral.
Company Name *
What company are you with? Type N/A if law firm.
Number of Years in Practice
How long have you been practicing?
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
0123456789
Do you hold any leadership positions and/or state bar licenses?*
Please note what titles or bar licenses you hold. If you are a Third Party Neutral, please write "N/A" in the field.

Registration*

Lawyer Attendee

$1,250.00 # of Participants

Vendor Attendee

Three (3) attendees are included with a WEM vendor ticket. Each additional attendee will be $1,500.

$7,000.00 # of Vendor

Vendor Additional Attendee

$1,500.00 # of Participants

Paralegal Attendee

$450.00 # of Participants

Third Party Neutrals

(Judges, Mediators, etc.)

$ Free

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Vendor, please list the names and emails of those who will be attending with your company.*
If this is not relevant to you, please write "N/A" in the field.

Based on the number of attendees you're bringing, please select the women's t-shirt sizes of each person.

Based on the number of attendees you're bringing, please select the women's pant size of each person.

YesNo
YesNoI'm already on it
If you would like to join the listserv, please provide two (2) member names for recommendation.
Should be Empty:

Conference Online Registration