Shining The Light On Whistleblower & Retaliation Claims
Shining The Light On Whistleblower & Retaliation Claims October 18–19, 2013 L’Enfant Plaza Hotel Washington, DC
REGISTRATION FORM I wish to register for the National Employment Lawyers Association’s 2013 Fall seminar on October 18–19, 2013 at the L’Enfant Plaza Hotel. I have read and agree to all terms and conditions which are subject to seminar registration. To join the National Employment Lawyers Association (NELA), or to renew your NELA membership, please visit www.nela.org or call (415) 296-7629.
NELA MEMBER SEMINAR REGISTRATION FEES
NON-MEMBER SEMINAR REGISTRATION FEES
Full Seminar Registration Rates
Full Seminar Registration Rates p $750 Non-NELA Member Early-Bird Registration
p $500 NELA Member Early-Bird Registration
Postmarked On or Before September 13, 2013
Postmarked on or before September 13, 2013
p $800 Non-NELA Member Regular Registration
p $475 Early-Bird Registration Legal Services/Public Interest/
From September 14 to October 4, 2013
Government Staff Attorneys & Paraprofessionals Postmarked on or before October 4, 2013
p $900 Non-NELA Member Late Registration
After October 4, 2013 & On-Site
p $550 NELA Member Regular Registration
From September 14 to October 4, 2013 p $650 NELA Member Late Registration
After October 4, 2013 & On-Site p $575 Late Registration Legal Services/Public Interest/
Government Staff Attorneys & Paraprofessionals After October 4 & On-Site p $275 NELA Law Student Member
Daily Seminar Registration Rates Daily registration rates are only available to NELA Members. p $350 Friday, October 18, 2013
Lobby Day 2013: Raising Our Voices For Change, October 17, 2013 (There is no charge to participate but pre-registration by September 13, 2013 is required.) p
YES! I plan to participate in LOBBY DAY 2013 on Thursday, October 17, 2013.
p I have participated in a prior NELA Lobby Day and/or have other lobbying experience. p I will attend the Lobby Day Orientation Breakfast Briefing on Thursday, October 17 from
7:30-9:00 a.m. at the L’Enfant Plaza Hotel. p My Representative of Congress is:
Please provide your cell phone number in case you need to be contacted on Lobby Day ) (e.g., appointment rescheduled/cancelled): (
p $350 Saturday, October 19, 2013
Please list me in the “Directory of Participants” as follows (please type or print clearly). Registration must be received on or before September 27, 2013 to be listed in the “Directory of Participants.” p This is updated membership information.
Name
State/Bar No.
Firm/Organization/Law School Address Address City Telephone (
State )
Email
Fax (
Zip )
Website
p I am planning to bring a laptop computer to the seminar. p Please check if you are requesting CLE credit. p Please check if you are requesting CLE credit from additional states and indicate the name(s) of the state(s):
Please complete both sides of this form. 8
Shining The Light On Whistleblower & Retaliation Claims p
I wish to order vegetarian meals.
p
Please specify any reasonable accommodation(s) you require (advance notice is requested): I agree to assume extra charges incurred by NELA for special meal requests.
p
Emergency contact information (optional): Name:
Telephone: (
)
THE EMPLOYEE RIGHTS ADVOCACY SCHOLARSHIP PROGRAM Yes! By making the following tax-deductible contribution I wish to support The Institute’s Employee Rights Advocacy Scholarship Program to ensure that NELA’s 2013 Fall seminar is accessible to employee rights advocates who could not otherwise attend the seminar. p
$50
p
$100
p
$250
p
$500
p
$1,000
p Other: $
SEMINAR MANUAL ON CD-ROM I am unable to attend the seminar, but wish to purchase the course manual on CD-ROM and enclose my payment (credit card or check). p NELA Member: $100
p
Non-Member: $200
PAYMENT I wish to pay by: p
Check: Payable to the National Employment Lawyers Association
p
Credit Card:
p VISA
p
MasterCard
p
DiscoverCard
Name on card Card number Expiration date Signature
Seminar Registration Fee(s)
Amount
$
The Employee Rights Advocacy Scholarship Program
Amount
$
Amount
$
(Your donation is tax deductible as a charitable contribution to the extent provided by law.)
Seminar Manual On CD-ROM
Total Amount Due
$
Hotel reservations must be made directly with the L’Enfant Plaza Hotel, (800) 635-5065. Reservations must be made no later than Friday, September 27, 2013 (5:00 p.m. Eastern) in order to receive the group rate.
A $25 service charge will be assessed for all returned checks and declined credit card transactions.
Please complete both sides of this form and return to: National Employment Lawyers Association, 417 Montgomery Street, Fourth Floor, San Francisco, CA 94104. Phone: (415) 296-7629, Fax: (866) 593-7521, Email: [email protected]. You are invited to register online using a VISA, MasterCard, or DiscoverCard at www.nela.org. To join the National Employment Lawyers Association (NELA), or to renew your NELA membership, please visit www.nela.org or call (415) 296-7629.
9
Submit by Email
Print Form
REGISTRATION FORM I wish to register for the National Employment Lawyers Association’s 2013 Fall seminar on October 18–19, 2013 at the L’Enfant Plaza Hotel. I have read and agree to all terms and conditions which are subject to seminar registration. To join the National Employment Lawyers Association (NELA), or to renew your NELA membership, please visit www.nela.org or call (415) 296-7629.
NELA MEMBER SEMINAR REGISTRATION FEES
NON-MEMBER SEMINAR REGISTRATION FEES
Full Seminar Registration Rates
Full Seminar Registration Rates p $750 Non-NELA Member Early-Bird Registration
p $500 NELA Member Early-Bird Registration
Postmarked On or Before September 13, 2013
Postmarked on or before September 13, 2013
p $800 Non-NELA Member Regular Registration
p $475 Early-Bird Registration Legal Services/Public Interest/
From September 14 to October 4, 2013
Government Staff Attorneys & Paraprofessionals Postmarked on or before October 4, 2013
p $900 Non-NELA Member Late Registration
After October 4, 2013 & On-Site
p $550 NELA Member Regular Registration
From September 14 to October 4, 2013 p $650 NELA Member Late Registration
After October 4, 2013 & On-Site p $575 Late Registration Legal Services/Public Interest/
Government Staff Attorneys & Paraprofessionals After October 4 & On-Site p $275 NELA Law Student Member
Daily Seminar Registration Rates Daily registration rates are only available to NELA Members. p $350 Friday, October 18, 2013
Lobby Day 2013: Raising Our Voices For Change, October 17, 2013 (There is no charge to participate but pre-registration by September 13, 2013 is required.) p
YES! I plan to participate in LOBBY DAY 2013 on Thursday, October 17, 2013.
p I have participated in a prior NELA Lobby Day and/or have other lobbying experience. p I will attend the Lobby Day Orientation Breakfast Briefing on Thursday, October 17 from
7:30-9:00 a.m. at the L’Enfant Plaza Hotel. p My Representative of Congress is:
Please provide your cell phone number in case you need to be contacted on Lobby Day ) (e.g., appointment rescheduled/cancelled): (
p $350 Saturday, October 19, 2013
Please list me in the “Directory of Participants” as follows (please type or print clearly). Registration must be received on or before September 27, 2013 to be listed in the “Directory of Participants.” p This is updated membership information.
Name
State/Bar No.
Firm/Organization/Law School Address Address City Telephone (
State )
Fax (
Zip )
Website
p I am planning to bring a laptop computer to the seminar. p Please check if you are requesting CLE credit. p Please check if you are requesting CLE credit from additional states and indicate the name(s) of the state(s):
Please complete both sides of this form. 8
Shining The Light On Whistleblower & Retaliation Claims p
I wish to order vegetarian meals.
p
Please specify any reasonable accommodation(s) you require (advance notice is requested): I agree to assume extra charges incurred by NELA for special meal requests.
p
Emergency contact information (optional): Name:
Telephone: (
)
THE EMPLOYEE RIGHTS ADVOCACY SCHOLARSHIP PROGRAM Yes! By making the following tax-deductible contribution I wish to support The Institute’s Employee Rights Advocacy Scholarship Program to ensure that NELA’s 2013 Fall seminar is accessible to employee rights advocates who could not otherwise attend the seminar. p
$50
p
$100
p
$250
p
$500
p
$1,000
p Other: $
SEMINAR MANUAL ON CD-ROM I am unable to attend the seminar, but wish to purchase the course manual on CD-ROM and enclose my payment (credit card or check). p NELA Member: $100
p
Non-Member: $200
PAYMENT I wish to pay by: p
Check: Payable to the National Employment Lawyers Association
p
Credit Card:
p VISA
p
MasterCard
p
DiscoverCard
Name on card Card number Expiration date Signature
Seminar Registration Fee(s)
Amount
$
The Employee Rights Advocacy Scholarship Program
Amount
$
Amount
$
(Your donation is tax deductible as a charitable contribution to the extent provided by law.)
Seminar Manual On CD-ROM
Total Amount Due
$
Hotel reservations must be made directly with the L’Enfant Plaza Hotel, (800) 635-5065. Reservations must be made no later than Friday, September 27, 2013 (5:00 p.m. Eastern) in order to receive the group rate.
A $25 service charge will be assessed for all returned checks and declined credit card transactions.
Please complete both sides of this form and return to: National Employment Lawyers Association, 417 Montgomery Street, Fourth Floor, San Francisco, CA 94104. Phone: (415) 296-7629, Fax: (866) 593-7521, Email: [email protected]. You are invited to register online using a VISA, MasterCard, or DiscoverCard at www.nela.org. To join the National Employment Lawyers Association (NELA), or to renew your NELA membership, please visit www.nela.org or call (415) 296-7629.
9
Submit by Email
Print Form
