Alumni Registration Winter 2020

Alumni

January 24-26, 2020

Registration: The fee includes Training materials, Administrative fees, and some Meals (depending on program agenda). Breakfast is not included.

Deadline for registration is December 6, 2019.

Late Registration: December 7 - January 3, 2020

$50 Late Registration Fee

Training and Hotel Location:

Renaissance Concourse Atlanta Airport Hotel

One Hartsfield Center Pkwy

Atlanta, GA 30354

Please Call 404-209-9999 or 1-800-468-3571. Please call the hotel directly as the deadline for discounted rates has passed.

Note: The closest Airport is Hartsfield-Jackson Atlanta International Airport – ATL (Airport shuttle service, scheduled, complimentary).

Program Registration Information

Registration Type*

Registration Price $

Participant Information

Participant's Name*

Prefix (optional)

First Name

Middle Name (optional)

Last Name

Suffix (optional)

Email*

Phone*

Current Public Defender Office*

Name of Your Office*

Position / Title*

Gender

Ethnicity

Participant's Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Do you have any dietary restrictions?*

Yes No

What are your dietary restrictions?*

Billing Information

Payment Options*

CC Payment Pay by Check

Billing Entity Type*

Personal Office

Billing Office*

Billing Office Name*

Billing Name*

First Name

Middle Name (optional)

Last Name

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Billing Email*

Billing Phone*

Credit Card*

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