MEMBER MAIL-IN REGISTRATION FORM

MEMBER MAIL-IN
REGISTRATION FORM
AUGUST 28-SEPTEMBER 1, 2016 | NATIONAL HARBOR, MD
This mail-in registration form is only for ILTA member law firms, corporate law departments, government law
departments, etc. To attend the ILTA conference as a vendor/exhibitor or consultant, please contact [email protected]
REGISTRANT INFORMATION:
Mr./Mrs./Ms.
First Name
Last Name
Job Title
City State/Prov. Zip/Postal Code Work Email Address
Direct Office Phone Number Firm or Company Name Work Address Emergency Contact Name Emergency Contact’s Day/Evening/Weekend Phone No (friend or family member to contact in case of emergency)
Special Dietary Request:
☐ Kosher
☐ No Carbohydrates
☐ Vegan
☐ Vegetarian
First Name or Nickname as Desired on Nametag: ☐ Other
How many prior annual conferences for ILTA (LawNet/VSLUG) have you attended?
Unless you indicate otherwise, your postal and telephone information will be provided to our registered exhibitors
for their use in promoting their presence and possible giveaways at ILTACON 2016. Many exhibitors who host events
utilize the postal data to send invitations to you.
If you do NOT want your postal/telephone data supplied to them for purposes of ILTACON 2016 promotions,
check here: ☐
REFUND POLICY:
All cancellation requests
must be in writing. Please
email [email protected]
FEES:
Cancellations received
through June 30, 2016:
$250 fee deducted
from refund
Current membership is a prerequisite to
Conference Registration. Click here to confirm
your 2016 membership.
Cancellations received
July 1 through
July 31, 2016: $500 fee
deducted from refund
To permanently opt-out of all vendor solicitations throughout the year, check here: ☐
MAIL COMPLETED FORM WITH PAYMENT TO:
ILTACON Registration
9701 Brodie Lane, Suite 200
Austin, TX 78748
FOR LAW FIRMS, THE ANNUAL DUES STRUCTURE IS:
1-24 attorneys - $400
25-49 attorneys - $650
50-99 attorneys - $1,225
100-249 attorneys - $1,275
250-499 attorneys - $1,575
500-749 attorneys - $1,725
750-999 attorneys - $2,075
1,000-1,500 attorneys - $2,225
>1,500 attorneys - $2,325
FOR OTHER ENTITY TYPES, THE ANNUAL DUES STRUCTURE IS:
1-24 attorneys = $350; first year FREE
>24 attorneys = $700; first year FREE
SUPERPASS!
If you are registering more than six people,
please see the information about our
SuperPass discount. Click here!
Registration postmarked through March 31:
$ 1,320
Registration postmarked April 1 through July 15:
$ 1,495
Registration postmarked July 16 through August 22: $ 1,745
Check payable to ILTA (U.S. Currency) must accompany registration form. If you have any questions email
[email protected]
Cancellations received
August 1 through
August 15, 2016:
$750 fee deducted
from refund
Cancellations received
after August 15, 2016:
No refund