Please fill out a separate form for each participant. Click here for the flyer. Date and time: Wednesday, January 26, 2022 - 6:00PM Price: $10.00 for ACLSA/LPI members or $20.00 for non-members. Location: Zoom Meeting - login codes will be provided before the event. MCLE & CCLS will be provided. Register by January 24, 2022ACLSA/LPI Member Price - January 26, 2022 Price: Non-member Price - January 26, 2022 Price: Membership* I am an ACLSA member or LPI member I am a non-member How did you hear about this event? What Professional LSA/LPA Organization do you belong to?*Choose...Alameda County LSABeverly Hills Century City LSAConejo Valley LPAContra Costa County LPADesert Palm LPAFresno County LPAHumboldt County LPALivermore-Amador Valley LPALong Beach LPALos Angeles LSAMarin County LPAMerced County LPAMt. Diablo LPAOrange County LPAPlacer County LPARio Hondo District (LA County) LPARiverside LPASacramento LSASan Diego LSASan Fernando Valley LSASan Francisco LPASan Gabriel Valley LSASan Mateo County LPASanta Clara County LPASanta Cruz County LPASanta Maria LPAStanislaus County LPAStockton-San Joaquin County LPATrinity County LSAMember at Large (MAL)Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Note: After you submist this form, you'll be taken to a secondary page where you must register for the webinar itself. Total $0.00 Credit CardCard Details Cardholder Name
