CLE Discount Program – Mail-in Registration Form

(On-line registration is not available at this time.)

Please enroll me in the 2014-2015 CLE Discount Program.

The discount is non-transferable and must be used by October 31, 2015.

Member Price:
$180 for up to 12 Credit Hours
$100 for up to 6 Credit Hours

Name: ________________________________
Address: ________________________________
________________________________
Phone ________________________
Email ___________________________
Amount $ ______
____ Enclosed is my check payable to the Richmond Bar.

____ Please charge my credit card:

Visa ____ Mastercard ____
Card No. _________________________ Exp. Date (mm/yy) _________
Name on card _____________________________

Mail this form with payment information to The Bar Association of the City of Richmond, P. O. Box 1213, Richmond, VA 23218-1213.