WEM Registration Form

Conference Online Registration

Please fill in the form below.
Full Name *

First Name Last Name
Law Firm *
What firm are you with?
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 Country
How many years have you attended WEM? *

0 1 2 3 4 5 6 7 8
Do you hold any leadership positions or state licenses? *
Please note what titles or licenses you hold. If you are a Third Party Neutral, please write "N/A" in the field.

My Products *

Lawyer Attendee

$ 750.00 # of Participants

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

$ 6,500.00 # of Participants

Vendor Additional Attendee

$ 1,500.00 # of Participants

Paralegal Attendee

$ 450.00 # of Participants

Third Party Neutrals

Free

Total

$ 0.00

Please list the name of those who will be attending with your practice. *
Specifically, for vendors who are registering and receive three (3) tickets. 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 shoe sizes of each person.

Would you like to join the WEM listserv? *

Yes No I'm already on it
If "yes" to the above question, please provide two (2) member names for recommendation.
Should be Empty:

Conference Online Registration