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1725

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, Alexa

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(703

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-486

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Dav

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, NC

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PRG accepts registrations by online submission at www.patentresources.com or by fax, mail, or courier. Contact a PRG registrar if you have questions at (703) 682-4860. Select the Classroom or Video Course for which you wish to register. You may submit tuition either by check, payable to Patent Resources Group, Inc., or by credit card (charges are authorizedby your completion of the following charge form). The Classroom Course tuition does not include hotel accommodationsor meals, but does include morning and afternoon refreshments.

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I am an active member of a State Bar that requires mandatory CLE hours.My State(s) and my Bar ID number(s) are:

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* Virginia sales tax is assessed on all deliveries to Virginia addresses and must be added to the tuition due. Shipping is included in the tuition price for orders shippingto a U.S. address. Orders shipping to a Canadian address will incur an additional $60.00 shipping and handling fee. Please contact registrar@patentresources.com forshipping and handling fees to areas outside the U.S. and Canada.

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� Mr. � Ms. � Dr. � Prof.

NAME

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CITY STATE ZIP

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EMAIL

� Visa � MasterCard � American Express

CREDIT CARD NO. EXPIRATION DATE

� Corporate Card � Personal Card � Government Card

Corporate Customer Code (if applicable) ________________________________________

PRINT NAME OF CARDHOLDER

SIGNATURE OF CARDHOLDER

BILLING ADDRESS (NO P.O. BOX) if different from mailing address.

CITY/STATE ZIP CODE

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Follow along with the experiences of one of the students fromour September 2011 course. Get first-hand reports about:

� His reasons for wanting to take the Patent Bar exam

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