REGISTRATION FORMNote: One registrant per form. Photocopies may be used.

Bar Number: ____________________________________________

Name: _________________________________________________

Firm: __________________________________________________

Firm Address: ___________________________________________

City, State: __________________________ Zip Code: ___________

Phone Number: __________________________________________

Email Address: ___________________________________________

□ Check here if you do not want your information released.This event may be recorded. By attending this event, you consent to be photographed, filmed, and/or otherwise recorded, and to any use, by the CLA, of your likeness, voice, and name in any and all media including social media. If you do not want your name or photo to be used, please let us know in advance. We cannot, however, honor requests to opt out of the use of your image or voice if you choose to ask a question during one of the event sessions.

The California Lawyers Association is an approved State Bar of California MCLE Provider.

Hard Money Lending Issues in Bankruptcy October 29, 2019 5:30 PM-6:00 PM – REGISTRATION | 6:00 PM-7:00 PM – PROGRAM | 7:00 PM-8:00 PM – NETWORKING RECEPTION

California Lawyers AssociationBusiness Law Section Insolvency Law Standing Committee

QUESTIONS: For registration information please call (916) 516-1757.

REGISTRATION FEES:(check the appropriate box)

□ $25 Law Student/CYLA

□ $35 Government/Nonprofit

□ $55 CLA Members

□ $75 General

□ $75 At the Door (on-site)

AMOUNT ENCLOSED OR TO BE CHARGED $_____________

(Checks can be made payable to: California Lawyers Association)

(required for email confirmation)

CREDIT CARD INFORMATION (VISA/MASTERCARD ONLY)I authorize California Lawyers Association to charge my program registration fee to my VISA/Mastercard account (no other credit cards will be accepted).

Account Number: _____________________________________________

Expiration Date: ______________________________________________

Cardholder's Name: ___________________________________________

Cardholder's Signature: ________________________________________

(VISA or Mastercard only)

REGISTRATION INFORMATIONDeadline: In order to pre-register, your form and check, payable to California Lawyers Association, or credit card information, must be received by October 25, 2019.

Register Online: Online registration will be available until October 25, 2019 at www.ieventreg.com/2019_lending_issues

Mail to: Mail your completed Registration Form and payment to: Program Registrations, California Lawyers Association, 400 Capitol Mall, Ste. 650, Sacramento, CA 95814

Email to: Send a scan of your completed Registration Form with mandatory credit card information to ProgramRegistrations@CALawyers.org. (Photocopies of checks will NOT be accepted)