Lawyer Re-Entry Program Registration


Registration is closed now.


Personal Information
Prefix (i.e. Mr., Mrs.):
First name:
Last name:
Suffix:
Title:
Firm / Organization:
Address:
Address 2:
City:
State:
Zip:
Country:
Phone #:
Additional #:
Fax #:
E-Mail address:
Are you a WCL Alumnus? Yes  No   (If yes, year? )
Are you a WCL Faculty or Staff Member? Yes  No  

Billing Address (if different from above address):
Firm / Organization:
Address:
City:
State:
Zip:
Country:
Contact person: