2021 Conference Registration Change Request

What would you like to do? *

Registration Cancellation

If a check refund must be processed who should the check be made payable to? * 🛈

Replacement Name

Purchase Dinner Tickets

Enter the number of Dinner tickets: *

Add Guest Registration - (Spouse/Significant Other ONLY)

Current Attendee Registration Type: *
Spouse/Significant Other Guest Registration Options: *
Spouse/Significant Other Guest Registration Options: *
Guests may not be a PORAC member or LDF Panel Attorney.  PORAC member's must register as Delegates.

Signature

Signature *
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