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MARYLAND TRIAL LAWYERS ASSOCIAT ION Membership Application


 Mr.  Ms.  Mrs.  Dr. Bar Date: (First admission to any State Bar) ___________ Name: ________________________________________________________________________ Firm name: ____________________________________________________________________ Address: ______________________________________________________________________ City: ___________________ State: _____ Zip: ___________ County: ___________________ Phone: __________________ Fax:__________________ Email: _______________________ Web site: ___________________________________ Licensed to practice in other jurisdictions (please list): __________________________________ Name of MTLA referring member: ________________________________________________


The following information will not be published or shared with commercial entities. Home address: __________________________________________________________________


City: ___________________ State: _____ Zip: ___________ County: ________________ STATEMENT OF CERTIFICATION (REQUIRED)


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: ______________________________________________ Date: _____________


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 nonvoting subscribing member at the regular member rate. Subscribing members do not have access to MTLAs’ Listserv, document bank or the “members only” section of MTLA’s Web site. Other restrictions may apply.


PAYMENT


Membership Fee: Section Fee:


Please add $100 to my payment for MTLA’s legislative efforts


_____________ _____________


_____________ Total: $ ____________


Check enclosed/Check #: _________ Credit Card: Visa Master Card Am Ex Card #: _____________________________________ Exp. Date: ________


Signature: _______________________________________ Please Note: Because of MTLA’s lobbying activities, and in accordance with IRS laws, 100% of your membership dues are nondeductible as a business expense.


All applications are reviewed at the Board of Governors meeting, usually held each month. While applications are pending, CLE attendance at member rates is granted to all applicants for regular and sustaining memberships. Other member benefits may be available, pending board approval.


Return application with fee to:


MTLA Membership Department 120 W. Fayette St., Suite 711 Baltimore, MD 21201


Revised August 2006 58 Trial Reporter Summer 2006 ...Keeping Families Safe


MEMBERSHIP CATEGORIES (Dues based on years in practice)


Regular (please check one) ___ Law Student


___ New Admittee


FREE FREE


(Admitted to the bar for less than one year) ___ 1-4 years ___ 5-9 years ___ 10-14 years ___ 15-19 years ___ 20+ years


$135 $225 $275 $325 $375


Subscribing (please check one) You or your firm’s personal injury and/or workers’ compensation defense work exceeds 50% (see MTLA’s 50% Rule)


___ Law Student ___ New Admittee


FREE FREE


(Admitted to the bar for less than one year) ___ 1-4 years ___ 5-9 years ___ 10-14 years ___ 15-19 years ___ 20+ years


$135 $225 $275 $325 $375


Sustaining (please check one) Sustaining members are regular members who pay double their dues to fund the costs associated with students and new admittees. Sustaining members receive an additional 10% discount on CLE programs and other services and products.


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


$270 $450 $550 $650 $750


Affiliate Nonlawyer personnel in an MTLA member’s office


___ $75


MTLA SECTIONS (Includes exclusivelistserv use)


__ Auto Negligence __ Family Law


__ Medical Negligence __ New Lawyers


__ Nursing Home


$30 $30


$100 FREE


(35 years old or younger or have been practicing for 7 years or less)


$30 __ Workers’ Compensation $30


Phone: (410) 539-4336 Fax: (410) 783-5981


Email: MTLA@mdtriallawyers.com


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