100 L
AW
C
ENTER ●
H
OUSTON
, T
EXAS
77204-6060
713-743-3040
● WWW
.
EELPJ
.
COM
March 30, 2012 Symposium: American Energy Independence: An “all of the above” strategy for our energy policy
Registration Form
Please complete the following information:
NAME: _______________________________________________________________
BUSINESS OR ORGANIZATION: ________________________________________
ADDRESS: ____________________________________________________________
_______________________________________________________________________
PHONE: __________________________ EMAIL: ___________________________
Please select one of the following:
General Registrant $150 
Government or Non-Profit Employee
Law Student,
Faculty, or Staff
$75
$25


Please send completed form, along with applicable payment in the form of a check or money order to:
EELPJ
Attn: Brittany Morris-Easley
100 Law Center
Houston, TX 77204
For questions or information, please contact Brittany Morris-Easley at: bnmorris@uh.edu