Registration

Please return this completed form with a check for $249.00 payable to:
LEGAL AID FOUNDATION, INC.
301 S. Monroe Street, Suite 108
Tallahassee, FL 32301

Please contact with any questions:
Marianne D. Bryant
(850) 222-3292; (850) 222-3864 facsimile
bryantm@tallahasseebar.org

Please review the hard copy registration form for more information and the schedule of events.

Attorney Name:
Florida Bar Number:
Name of Firm:
Mailing Address:
City:
State:
Zip:
Office Phone:
Cell Phone:
Fax:
Email Address:
Assistant's Name:
SA Assistant's Email:
Assistant's Mailing Address:
City:
State:
Zip:
Check Number:
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