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2. Instructions

   Submission Instructions

   Complete and submit this form to request Pennsylvania Continuing Legal Education Credits for sessions attended at the NJLM Mini-Conference. 

   • Print and mail a copy of this form;
   • Include your check; and
   • Include copies of your attendance certificates.

   This form will not be processed until attendance certificates and payment have been received.

   Mailing Address

   New Jersey State League of Municipalities
   222 West State Street, Trenton, NJ 08608

   Make Check Payable to:

   New Jersey State League of Municipalities

   Questions

   Contact Danielle Holland, Senior Manager, Continuing Education at 609-695-3481 ext 118 or dholland@njlm.org.

4. Name*
5. Conference Badge #
7. Attendees PA Bar Association Number #*
9. Firm or Business Name & Address
11. Email
12. Phone
14. Conference Session 1 (Title, Date, Time)
16. Conference Session 2 (Title, Date, Time)
18. Conference Session 3 (Title, Date, Time)
20. Conference Session 4 (Title, Date, Time)
22. Conference Session 5 (Title, Date, Time)
24. Conference Session 6 (Title, Date, Time)
26. Conference Session 7 (Title, Date, Time)
28. Conference Session 8 (Title, Date, Time)
30. Total Fee ($15 per session)
32. Remember to Print a Copy of this Form!

    How to print a copy of this form:

    • Email a copy to yourself by clicking the checkbox below. Once you receive it, print a copy, or
    • Hit CTRL P on your keyboard, and a print preview screen should appear. Select print.
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field