Bar Admission Date____________
All applicants must complete the following: I certify that my personal injury and/or workers’ compensation practice involves _______% insurance defense work and that my firm's personal injury and/or workers’ compensation practice involves _______% insurance defense work.
Signature____________________________________________
MTLA's 50% Rule: If your personal injury and/or workers’ compensation insurance defense work, or that of your firm's, exceeds 50%, you are welcome to join MTLA as a non-voting, Subscribing Member at the Regular Member rates. Subscribing Members do not have access to MTLA's Document Bank, DepoConnect, MTLA's Listserv and the member area of MTLA's website. Other restrictions may also apply.
Regular Membership
___Law Student ___New Admittee* ___1-4 years ___5-9 years ___10+ years
$25.00 $35.00 $85.00
$175.00 $225.00
___ I am applying for a Subscribing Membership. (Regular Membership rates apply. See 50% Rule above.)
*Admitted to the Bar for less than one year Sustaining Membership
Sustaining members receive an additional 10% discount on member rates for CLE programs and other selected services or programs. This membership level helps subsidize MTLA's low rates for new lawyers.
___1-4 years ___5-9 years ___10+ years
$170.00 $350.00 $450.00
Non-lawyer personnel in a member's office. ___Affiliate
Affiliate Membership $75.00
Legislative Contribution
___ Add $75.00 to my dues payment as a contribution to MTLA's legislative work. MTLA SECTIONS
Medical Negligence
___ I would like to join MTLA’s Medical Negligence Section. Add $100 to my dues payment (includes exclusive Listserv for section members). Family Law
___ I would like to join the Family Law Section. Add $20.00 to my dues payment. Workers’ Compensation
___ I would like to join MTLA’s Workers’ Compensation Section. Add $30.00 to my dues payment.
New Lawyers
___ I would like to join the FREE New Lawyers Section. I am 35 years old or younger or have been practicing for seven years or less.
PLEASE NOTE: Because of MTLA's lobbying activities and in accordance with IRS laws, 38% of your membership dues is nondeductible as a business expense.
Name ________________________________________________________ Firm Name ____________________________________________________ Address ______________________________________________________ City/State/Zip __________________________________________________ County _______________________________________________________ Phone________________________________________________________ FAX _________________________________________________________ Email ________________________________________________________ WebSite ______________________________________________________
The following information will not be published or shared with commercial entities:
Home Address_________________________________________________ City/State/Zip __________________________________________________ County _______________________________________________________ Home Phone __________________________________________________ Legislative District ______________________________________________ Congressional District ___________________________________________
This information can be found on your voter registration card.
I am also licensed to practice law in the following states:
______________________________________________________ ***All applications are reviewed by the Board of Governors at the next Board meeting, usually held on the 3rd Wednesday of each month.
While application is pending, CLE attendance at member rates is immediately granted to all applicants for Regular and Sustaining memberships. Other member benefits may not be available, pending Board approval.
Check Enclosed___ Credit Card Payment: ___AmEx
___VISA ___MasterCard ___Discover
Card # _________________________________________________________________ Expiration Date _____/_____ Signature_______________________________________________________________
Summer 2002 Trial Reporter
Return with Payment to MTLA Membership
120 W. Fayette St., Suite 711 Baltimore, MD 21201
PH 410-539-4336 FX 410-783-5981 Email:
mtla@mdtriallawyers.com www.mdtriallawyers.com
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