WEM 2023 Registration Form

Your Name

First NameLast Name

Email

example@example.com

If you will be attending, please list your preferred shirt size:

Please list your preferred pants size:

What law firm or company are you with?

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How many years have you been in practice?

How many years have you attended WEM?

Do you hold any leadership positions and/or state bar licenses?

Would you like to join the WEM listserv?

YesNoAlready on it

If you would like to join the listserv, please provide two (2) member names for recommendation.

Attendee #1

First NameLast Name

Title

Email

example@example.com

Attendee #1's preferred shirt size:

Attendee #1's preferred pants size:

Attendee #2

First NameLast Name

Title

Email

example@example.com

Attendee #2's preferred shirt size:

Attendee #2's preferred pants size:

Attendee #3

First NameLast Name

Title

Email

example@example.com

Attendee #3's preferred shirt size:

Attendee #3's preferred pants size:

Attendee #4

First NameLast Name

Title

Email

example@example.com

Attendee #4's preferred shirt size:

Attendee #4's preferred pants size:

Attendee #5

First NameLast Name

Title

Email

example@example.com

Attendee #5's preferred shirt size:

Attendee #5's preferred pants size:

Registration Levels

Lawyer RegistrationAttendance for one (1) licensed attorney. This is $1250 for one registration, plus processing fees (2.9% + 30¢ per charge)

$1,286.55

Paralegal RegistrationAttendance for one (1) paralegal. This is $600 for one registration, plus processing fees (2.9% + 30¢ per charge)

$617.70

Third Party Neutral, Judge or Mediator RegistrationRegistration is complimentary for third party neutrals, judges and/or mediators.

$ Free

Vendor RegistrationThree (3) attendees are included in the Vendor Registration. This is $7000 per vendor registration, plus processing fees (2.9% + 30¢ per charge)

$7,203.30

Additional Vendor RegistrationIf a vendor would like to send more than 3 attendees, this registration level is for each additional attendee. This is $1500 per additional vendor registration, plus processing fees (2.9% + 30¢ per charge)

$1,543.80

Vendor-Sponsorship Registration DiscountVendors who also sponsor WEM receive a 25% discount on their registration. Registration is $5250 for 3 attendees, plus processing fees (2.9% + 30¢ per charge)

$5,402.55

Additional Vendor-Sponsorship Registration Vendors who also sponsor WEM receive a 25% discount on their registration. If a vendor would like to send more than 3 attendees, this registration level is for each additional attendee. This is $1125 per additional vendor-sponsor registration, plus processing fees (2.9% + 30¢ per charge)

$1,157.93

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please RSVP/check the following that you plan to attend:

Sunday Evening - Welcome DinnerMonday Morning - YogaMonday Night - The Dissenters Band & DinnerTuesday Morning - YogaTuesday Day - Business Session & LunchTuesday Night - Closing Reception