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AGACL CONFERENCE PRE-REGISTRATION FORM FOR ONLINE REGISTRATION
31st Annual Conference
San Diego, California, August 31 - September 3, 2010

If you would prefer to complete the registration process offline, download a version of the application form here. If you do not receive a confirmation email, please contact Jan Dyer by phone or fax at (602) 938-5793.

Note: Please use the tab key to navigate through this form. Hitting the Enter key will cause the form to be submitted. All fields marked with an asterisk must be completed.


Name (First and Last) *
Title *
Agency *
Address 1 *
Address 2
City *
State *
Zip Code *
E-mail Address *
Phone Number *
Fax *
My office is a member of AGACL Yes *
No
(If the office membership is held in the name of someone other than the registrant, please indicate the member's name here)
Membership type Board member *
Member - $425
Non-member - $525
My guest will attend Cocktail party reception - $60 (Tuesday)

(Reception is included in the registration fee for attendees.)
Additional comments
 
Please send the registration fee to the address below (check or money order; credit cards not accepted). Government ID will be required at check-in.
Cancellation policy: A cancellation fee of $150 will be charged if notice of cancellation is not received by 5:00 pm on August 29, 2010.

Please make checks payable to:

ASSOCIATION OF GOVERNMENT ATTORNEYS
IN CAPITAL LITIGATION
Send to:

AGACL
PMB-102
125 North 2nd Street, Suite 110
Phoenix, Arizona 85004-2370
(602) 938-5793; FAX (602) 938-5793
E-mail: agacl@msn.com

NOTE: If you do not receive a confirmation from AGACL, please call to confirm receipt of the registration.

Federal ID No. 61-1011364

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