Southern University Law Center

Other Registration Described:

Other Sponsorship Described:

Contact Information

Please provide your organization’s primary contact information so we can communicate important event details and follow up as needed.

Point of Contact First Name: *

Point of Contact Last Name: *

Firm/Organization: *

Address: *

City: *

State: *

Zip Code: *

Email Address for Point of Contact: *

Phone Number
(include area code): *

Event Participation

Share your participation details to help us prepare your booth, materials, and accommodations for the event.

Will your organization participate in the Career Fair? *

Will your organization participate in the evening Networking Event? *

Number of representatives attending? *

Please list the names of all representatives who will be attending: *

Do you require electrical access at your table? *

If yes, please describe:

Do you require any accessibility accommodations? *

If yes, please describe:

Additional Information

Use this space to share hiring areas, special requests, or details that will help us better support your participation.

Please list below any practice areas or departments you plan to hire for during the upcoming recruitment cycle.

Practice areas or departments you plan to hire:

Please share any additional notes or requests:

Payer Information

First Name: *

Last Name: *

Company:

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *