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Continuing Legal Education Registration Form

Complete this form to register and obtain a ticket for free MCLE seminars!

This form also must be completed and submitted to Seabury & Smith BEFORE you complete the online Risk Management Self-Evaluation Questionnaire in order to receive MCLE credit. Fill in all fields below; if a field does not apply to you enter "N/A." Check your entries, make any necessary corrections, and click on the "Submit" button. You will receive a page acknowledging your submission; from there, you can proceed immediately to the CLE program material, or follow the instructions to bookmark a page from which you can complete the program later.

By completing this form, you also register to receive notification by email of MCLE seminars and the opportunity to earn additional FREE participatory MCLE credit, plus premium discounts.

 Your e-mail address

 

 Your name

 

 State Bar number

 

 Firm Name

 

 Street Address 1

 

 Street Address 2

 

 City

 

 Zip code

 

 Office telephone number

 

 Office fax number

 

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