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MARYLAND TRIAL LAWYERS ASSOCIATION ***MEMBERSHIP APPLICATION***


Bar Admission Date ____________


(Your first admission to any State Bar. Dues structure based on years in practice.) All applicants must complete the following:


I certify that my personal injury and/or workers’ compensation practice involves _______% defense of personal injury or negligence actions and that my firm's personal injury and/or workers’ compensation practice involves _______% defense of personal injury or negligence actions. Signature________________________________________________


MTLA's 50% Rule: If your personal injury and/or workers’ compensation defense work, or that of your firm, 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, Trialsmith, 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 - 14 years ___ 15 - 19 years ___ 20 + years


FREE FREE


$135.00 $225.00 $275.00 $325.00 $375.00


___ 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 member- ship level helps subsidize MTLA's low rates for new lawyers.


___ 1 - 4 years ___ 5 - 9 years ___ 10 - 14 years ___ 15 - 19 years ___ 20 + years


$270.00 $450.00 $550.00 $650.00 $750.00


Affiliate Membership


Non-lawyer personnel in a member's office. ___ Affiliate


$75.00 Legislative Contribution


___ Add $100.00 to my dues payment as a contribution to MTLA's legislative work.


Name ________________________________________________________ Firm Name ____________________________________________________ Address ______________________________________________________ City/State/Zip __________________________________________________ County _______________________________________________________ Phone________________________________________________________ Fax __________________________________________________________ Email ________________________________________________________ WebSite ______________________________________________________


MTLA Sections Auto Negligence


___ I would like to join the Auto Negligence Section. Add $30.00 to my dues payment. Family Law


___ I would like to join the Family Law Section. Add $30.00 to my dues payment. Medical Negligence


___ I would like to join the Medical Negligence Section. Add $100.00 to my dues payment


(includes exclusive Listserv for section members). 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. Nursing Home


___ I would like to join the Nursing Home Section. Add $30.00 to my dues payment. Workers’ Compensation


___ I would like to join the Workers’ Compensation Section. Add $30.00 to my dues payment.


PLEASE NOTE: Because of MTLA's lobbying activities and in accordance with IRS laws, 57% of your membership dues is nondeductible as a business expense. 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.


Referred by MTLA Member: _____________________________________ For publication in MTLA's Membership Directory:


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: ___ MasterCard ___ Visa


___ Discover ___ AmEx


Card # __________________________________________________________ Expiration Date ____ / ____ Signature ________________________________________________________


Spring 2006 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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