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Thank you for attending the MDL Judicial Summit hosted by Texas Tech University School of Law!

Please complete this form if you have not provided your CLE information during registration.

All requests will be processed and sent out 30 days post-event.

First Name *

Last Name *

Email Address *

Please list the state(s) you are licensed in: (Use comma to separate multiple states) *

State Bar ID #:
(Use comma to separate multiple states and use state abbrev.) *

Is your CLE compliance deadline within the next 30 days? *

Yes

No

Were you a speaker or panelist? *

Yes

No

Please select the session you were a presenter on: *

Were you a speaker or panelist in any other sessions? *

Yes

No

Please select the session you were a presenter on: *

Were you a speaker or panelist in any other sessions? *

Yes

No

Please select the session you were a presenter on: *

Signature (Type Your Full Name) *

Completion Date * +

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