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Please complete the form below to register for the JurisPacific Premier Plan single user license. Within one business day we will send you a copy of your registration form for your signature. Upon receipt of your signed registration form, we will issue you your registration confirmation number so that you may activate your account. JurisPacific Premier Plan PRICE TERM $220.00 per user, per month 1 year JurisPacific is a subscription-based service that is available for use by registered members. Registration requires purchasing a license to use and access the JurisPacific online web application system.     * Indicates a required field.       Name: *First: M.I. *Last:       Mailing address: *Line 1: . Line 2: *City: *State: *Zip code: -       *Phone: Fax: - - - - Please do not provide pager or automatic voice mail system numbers.         *E-mail:         *Intended Use : For what purpose do you intend to use JurisPacific?

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