November 17-21, 2008
Clearwater Beach, Florida

Name:

Agency:

Address:

City:

State:

Zip:

Phone:

(      )

Fax:

(      )

E-mail:

REGISTRATION FEE

Course registration

$500.

2008 IALEP membership (new or renewal - required)

$75.

Payment enclosed

$                 

Print this registration form and mail with payment in U.S. dollars to:

IALEP

P.O. Box 11437

Torrance, CA 90510-1437

Class limited to 30 persons in order of receipt of payment.