University of Wisconsin Law School

Room 3250

Saturday, December 6, 2008

9:00 - Noon

Program Fee:

   Lawyers: $50.00 (payable to UW Law School)

   Students: Admission Free—registration required
 

Print this form and return with program fee to the Resource Center on Impaired Driving by mail: U.W. Law School, 975 Bascom Mall, Rm 2348, Madison, WI  53706; fax: 608-263-3472 or email: ninaj@wisc.edu

Name: ______________________________________________

 
Firm/Agency: _________________________________________

 
Address: _____________________________________________

 
City, State ZIP: ________________________________________

 
Telephone: ____________________________________________

 
Email: ________________________________________________