WEM Registration Form

Conference Online Registration

Please fill out the form below.
Full Name *

First Name Last 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

City State / Province

Postal / Zip Code
How many years have you attended WEM? *

0 1 2 3 4 5 6 7 8 9
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

$ 1,000.00 # 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.

Is this your first time attending WEM? *

Yes No
Would you like to join the WEM listserv? *

Yes No I'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