TEST HEALTH.pdf - Cumberland School of Law - Samford University

REGISTRATION
Online: www.cumberland.samford.edu/cle or scan this code
Phone: 1-800-888-7454 or 205-726-2391
Fax: 205-726-2616
Mail: Cumberland School of Law CLE, P.O. Box 292222,
Birmingham, AL 35229
Developments and Trends in Healthcare Law 2012
Friday, September 21, 2012
o $349 Advance registration/Save Money (includes code to download and
print course materials 48 hours prior to the seminar)
o $399 Advance registration (includes hard copy of course materials)
o $369 Registration at the door (includes course materials on a flashdrive/no
hard copy of course materials)
o $50 I cannot attend. Please send me the course materials on a flashdrive.
Mr./Ms. (please circle)
First name _______________________ Last name ______________________
Alabama State Bar ID # ASB _________________________________________
Firm/Agency _____________________________________________________
Address _________________________________________________________
City __________________________________ State ____ ZIP ____________
Phone __________________________________________________________
Fax _____________________________________________________________
Email ___________________________________________________________
o Check enclosed (payable to Cumberland School of Law CLE) Check # ___________________
o Visa o MasterCard o Discover o American Express
Card # __________________________________________________________
Exp. Date ________________________ Security Code ___________________
(3- or 4-digit code in signature panel)
Name as it appears on card _________________________________________
Signature ________________________________________________________
CLE credit: Approved for 6.5 hours of CLE credit in Alabama, Mississippi, and Tennessee,
including 1.0 hour of ethics credit. Credit has been applied for in Georgia. The program is
approved for 8.0 hours business related CPE (including 1.5 hours of accounting and
auditing CPE), 6.5 hours recognized by the Alabama Board of Nursing and approved for
6.5 hours of NHA credit.
Cancellations and refunds: Prepaid registration fees will be refunded, upon request, up
to 48 hours before the beginning of the seminar. Arrangements for substitutions may be
made anytime prior to the seminar.
Services for people with disabilities: Please contact the CLE office at 205-726-2391 or
email lawcle@samford.edu.
Nonlawyers welcome: Cumberland School of Law CLE programs are designed for
practicing attorneys but other professionals are welcome to attend.
Samford University is an Equal Opportunity Institution that complies with applicable law prohibiting discrimination in
its educational and employment policies and does not unlawfully discriminate on the basis of race, color, sex, age,
disability, veteran status, genetic information, or national or ethnic origin.