Annual Seminar Speaker Registration ABTL Chapter* Los Angeles Northern California Orange County San Diego San Joaquin Valley Full Name* Nickname (for name tags, if applicable) Email* State Bar Number (if applicable) Firm, Company, or Court* Work Address* Street Address City State / Province / Region ZIP / Postal Code Work Phone*Mobile PhoneAssistant's Email Add your assistant’s email if you wish them to receive confirmation receipt and hotel reservation instructions.ABTL Officer, Board Member, Past President, or JAC? I’m a current ABTL Officer I’m a current ABTL Board Member I’m a Past President I’m a Judicial Advisory Committee Member Guests I will be bringing a guest Guest Name Guest Email Please include guest’s email for event notices and for use with the on-site Event App.Children I will be bringing children. Children's Names and AgesSpeaker Registration Fee*Please register in one of the following categories. Prices are per person and include all materials, group meals, special events and entertainment. Prices listed are at the Early Registration Rate and will increase on June 21st $1,195.00 – Attorney Speaker Guest Registration$0.00 – No Guests$695.00 – One GuestChildren Registration$0.00 – No Children$300.00 – One Child$600.00 – Two Children$900.00 – Three Children$1,200.00 – Four Children$1,500.00 – Five ChildrenTotal $0.00 Cancellation and Refund Policy Seminar registration fees are refundable prior to September 6, 2023, less a non-refundable processing fee of $175.00. Cancellations must be received in writing (by email to annualseminar@abtl.org no later than 5:00 p.m. on September 6, 2023. After that time, no refunds will be processed but registration is transferrable to a replacement registrant.Enter your initials below to indicate that you have read and acknowledge the cancellation and refund policy.* Upon submission, you will be directed to PayPal to complete your registration and payment.