|
Home | Speakers | Hotel
| Schedule | Sponsors | Be A Sponsor | Links | Privacy | Contact
=============================================================================================== Attendee Registration - 8th Annual Public Defender Las Vegas Retreat - April 18-20, 2008 For
each attendee, print this page, fill it out, & mail
to: Dave Rendahl, Deputy Public Defender, Tulare County Public
Defender's Office, County Civic Ctr, Rm G35, Visalia CA 93291 USA.
Please make check or money order payable to Dave Rendahl / Public
Defender Retreat. Or FAX to
1-559-733-6113. Or copy &
paste this page into an email,
fill it out (replace underlines with your answers), & send to Dave@PublicDefenderRetreat.com.
Name: ___________________________________________ Title / Office: ___________________________________ Address: ____________________________________________ Email Address: _______________________________ City: ___________________________ State: ____ Zip: _________ Your State Bar or Prof. # (optional): ____________ Phone: __________________________ Cell Phone: ________________________ Fax: ________________________ Retreat Registration Fee: $90, $100 after January 31, 2008, & $120 at the Door Friday Evening Improv Comedy Show: 10pm at Harrah's, next to Imperial Palace. Includes taxes & fees. How Many Discount Improv tickets: ____ at $28 ea for a Total of: $ ______ Saturday Night Studio 54 Nightclub: 10pm at MGM. No line wait, VIP seating, dress code. First 60 people. Name(s) of Nightclub VIP(s): _______________________________________________________________________ How Many Nightclub VIPs: ____ at $60 ea for Men & ____ at $40 ea for Women for a Total of: $ ______ Sunday Afternoon 2008 World Defender Poker Championship: 2pm at Bally's Casino Hotel. Name(s) of Poker Entrant(s): ______________________________________________________________________ T-shirt Size(s): ____ S, ____ M, ____ L, ____ XL, ____ XXL (Enter quantity desired, one per entrant.) How Many Retreat Poker Tournament Entries: ____ at $50 ea for a Total of: $ ______ Las Vegas Monorail Tickets: You can order Monorail tickets here & pick them up anytime during the Retreat. How Many Monorail Tickets: ____ 1-ride $5 ea, ____ 2-ride $9 ea, ____ 10-ride $35 ea, How Many Passes: ____ 1-day Pass Total Enclosed: $ ______ Check [ ] Money Order [ ] Charge To: Visa [ ] MasterCard [ ] AmEx [ ] Name on Card: ______________________________________ Signature: ___________________________________ Billing Address for Card: ___________________________________________________________________________ Card Number: _____________________________________________________ Expiration Date: _________________
===============================================================================================
Retreat
Activities: (You're
not committed, but to help with planning.)I Plan to Stay at the Imperial Palacel: [ ] Or Other Hotel: ________________________________________________ Friday Welcome Party (free, included in Registration Fee): How Many Attending: _____ Or If Not Attending: [ ]
===============================================================================================
*
The Tulare County Public Defender certifies that this activity has
been approved for MCLE credit by the State Bar of California in the amount of 9.5 hrs (1 hr in ethics). Tulare County
Public Defender is a State Bar of
California MCLE approved provider. Contact Dave at his office 559-733-6693, cell 559-303-4377, or Email
for MCLE info on your state or jurisdiction (no state has ever
previously denied credit).
===============================================================================================
|