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1350 I St. N.W.
Washington, DC 20005
tel: (202)898-5800
fax:(202)682-1639

16th Annual Private Seminar on Toxic Tort Litigation
Current Strategies for Toxics and Pharmaceutical Defense
May 18 - 19, 2004

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REQUEST FOR CLE CREDIT I would like to apply for CLE credit upon completion of this Seminar. Listed below are my bar number(s) and the State(s) of which I am a member.

State:	Bar No.
State:	Bar No.