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* PLEASE COMPLETE THE REQUIRED FIELDS (RED). THE OTHER FIELDS ARE OPTIONAL.

 

Course

Date & Time *
First Name*
Last Name*
Title*
Organization or
Law Firm*
Street Address
Street Address      Continued
City
State/Province
Zip/Postal Code
County
Country
Daytime Phone*
Ext.
Fax
E-mail Address
at Law Firm*
URL (website)
Admitted to the SDNY Bar? YES   NO
Requesting a
CLE credit certificate?
YES   NO


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