Price: SLSA Members: $45, Non-members: $50 ($5 extra for reservations made after the cutoff date of January 11, 2019 by 12:00 p.m.) Please use the form below to register. If you choose to pay by Pay Pal or credit card, you will be taken to Pay Pal to complete payment. Note, you can use your credit card with Pay Pal if you do not have or do not want to use a Pay Pal account. Download the flyer Please fill out separate form for each attendee. Name* First Last Firm/CompanyAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* PhoneDinner Option*Chimchurri Flank Steak, garlic mashed potato, fresh vegetable du jourChicken Concasse with fresh tomato and basil, garlic mashed potato, fresh vegetable du jourManicotti Stuffed with Spinach, mascarpone, lemon buerre blanc, fresh vegetable du jourEntrees include bread, salad, dessert, and choice of iced tea, hot tea, coffee, milk, soda, or water.Are you interested in hearing about SLSA volunteer opportunities?YesNoTopic SuggestionGeneral CommentsCertificate requests I request a MCLE/CLE Certificate I request a CCLS Certificate Payment Method*By Pay Pal or Credit CardBy CheckPrice Options*Price includes convenience fee.Member - $46.65 (Jan. 17, 2019 DM)Non-Member - $51.80 (Jan. 17, 2019 DM)Member (After deadline) - $51.80 (Jan. 17, 2019 DM)Non-Member (After deadline) - $56.95 (Jan. 17, 2019 DM)Pay by check pricing optionsMember - $45.00Non-Member - $50.00Member (After deadline) - $50.00Non-Member (After deadline) - $55.00Are you interested in becoming a member?Yes, I am interested in becoming a memberNo, not at this timeNOTE: Cancellations must be received 72 hours in advance for a refund. No-Shows will be billed. NOTE: Cancellations must be received 72 hours in advance for a refund. No-Shows will be billed. Once you submit this form, you will be sent an e-mail that you can print and send it with your check.