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  REGISTRATION FORM

 
Details
Name
    *
Title/ Department
    *
Organization
    *
Address
    *
City/ State/ Zip
    *
Phone
    *
Fax
    *
E-mail
    *
 
REGISTRATION FEE: $79 per person. ($15 for Students and Faculty) If this registration form is for more than one person, please enter the names and email addresses of each registrant (excluding primary registrant above). For retailers who send a team of 3 or more, the fee is $59 per person.
 
Name
   
E-mail
   
 
Name
   
E-mail
   
 
Name
   
E-mail
   
 
 
Payment by Check:
Enclosed is a check in the amount of $
Please make the check payable to Opus Law Group PLLC
 
 
Mail checks and registration forms to:
Retail 2008 Coordinator
Opus Law Group PLLC
1325 Fourth Avenue, Suite 1800
Seattle, WA 98101