2018 Meeting Registration Form Please Join Us! The annual meeting of the Wester District of Wisconsin Bar Association will take place Thursday, May 17, 2018 on the 3rd Floor of Madison Central Library. Please complete and submit this registration form by Friday, May 4th, if you plan to attend. Please see the meeting agenda for a preview of topics and schedule. Thank you! Name* First Last Firm Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Enter Email Confirm Email I will be attending:* 11:00 AM Business Meeting 12:00 PM Luncheon 1:45 PM CLE Program (at U.S. District Courthouse) 4:30 PM Reception Luncheon Menu Selection ($30, includes tax & gratuity)*Choice #1: Grilled Chicken Kabob - Served with Basmati rice, vegetables, hummus, pita Choice #2: Grilled Salmon - Served with Basmati rice, vegetables, hummus, pita. Choice #3: Mediterranean Plate - Hummus, baba ghanoush, falafel, grape leaves, salad. (Gluten Free/Vegan) - Fresh falafel, grape leaves, tabouli salad, Baba Ghanouj and hummus. Served with Tahini and yoghurt sauce and pita bread.Grilled Chicken ($30)Grilled Salmon ($30)Mediterranean Plate ($30)None ($0)I am willing to work on the following WDBA Committee(s): Articles for the newsletter Court Rules, Practice & Procedure Courthouse Equipment & Facilities Criminal Law & Procedure Membership Pro Se/Pro Bono* Website Please add me to the list to take PRO BONO assignments. Member FeedbackWe are eager to fulfill our mission of promoting the just, speedy, respectful and efficient determination of every action filed in the District Court by acting as an effective liaison among the District Court, federal practitioners, litigants and the public; by encouraging, fostering and supporting educational opportunities that improve the practice of law in this District; and by serving the needs of the District Court, federal practitioners, litigants, and the public. We welcome any suggestions you might have about how we can better achieve this mission: MembershipMembership dues for 2018 - 2019. Free for new attorneys. Please only register ONE person, as there is no way to add a second person's name. If you are registering more people than yourself, please submit an additional form after this one. Price: $50.00 Quantity: CLE Progam (Only Non-Members Must Pay)Please only register ONE person, as there is no way to add a second person's name. If you are registering more people than yourself, please submit an additional form after this one. Price: $50.00 Quantity: Total $0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms.