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2. Instructions

   Submission Instructions

   Complete and submit this form to request Pennsylvania Continuing Legal Education Credits for a League educational program attended. 

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

   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*
6. Attendees PA Bar Association Number #*
8. Firm or Business Name & Address
10. Email
11. Phone
13. Seminar Title
15. Credit Fees
    • 1.0-3.0 Credit Course: $15.00
    • 3.5-4.0 Credit Course: $20.00
17. 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.
19. Questions

    If you have any questions please contact Danielle Holland at 609-695-3481 extension 118 or dholland@njlm.org.

Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field