Registration/Order Via Mail

Through-the-Mail Registration/Order Form

Print this page, fill in the requested information, and send form and payment to
LEEWS
519 W. Chestnut Street
Lancaster, PA 17603

Name
Law School / Year of Grad
Full Shipping/Mailing Address
Phone
E-mail Address
Program Date / City

Enclosed is: (check one)

$125 (  ) advance payment
$140 (  ) late/at door payment for live program

Group Rates
$115 (  ) (3-6) grp. rate
$110 (  ) (7-12) grp.rate
$105 (  ) (13 or more) grp. rate.

$160 (  ) payment in full for program on (audio) CDs. (Includes priority mailing. Allow 3-4 days for delivery.)
$35 (  ) Additional Primer(s)
$40 (  ) Payment for Primer only. (Includes priority mailing. Allow 3-4 days for delivery.)

VISA/DISC/MC/AMEX
Card Number
Expiration Date
Name as it appears on card
Street No. (only!) and zipcode of billing address, if different

 

Other (explain):__________________________________________

Signature:______________________________________________

Send form and payment to:

LEEWS
519 W. Chestnut Street
Lancaster, PA 17603

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