Main Membership Form

Please check this list to see if you work for one of the EMLF's sustaining members. If you do, all you need to do is use the membership category on this form specifically for existing sustaining members to send us your information and you will be added to the EMLF membership. All employees of a sustaining member are covered by its membership. The category is labeled Employee of Sustaining Member.

Note: If you are joining as a Supporting Member or Sustaining Member, please have the main contact complete the membership application and then send an email with the necessary information for the remaining members (up to two more individuals for a Supporting membership or unlimited for Sustaining members).

Include the person's full name, nickname, title, address, phone, fax, email address and bar membership. You may include the information in the body of the email or attach a Word document.

CONTACT INFORMATION

Firm/Organization Name :*

Firm website :

First Name*

M.I. :

Last Name :*

Nickname :

Title :

Email :*

Address :

Address 2 :

City :

State :

Zip Code :

Country

Phone :*

Mobile Phone

Fax :

Bar Membership :

Member Biography (URL) :

Photo Upload

Accepted file types: jpg, jpeg, png, gif, Max. file size: 8 MB.

MEMBERSHIP INFORMATION

Please choose your user name, password (minimum of six characters). Username and password are case sensitive.

User ID :*

Password*

Enter Password Confirm Password

My membership category is as follows : Remember, if you are employed by an existing sustaining member, selected Employee of Sustaining Member:*

Sustaining Member: Law ﬁrms, consulting ﬁrms, corporations that want to list more than 3 members. $2,200

Supporting Member: Law ﬁrms, consulting ﬁrms and corporations with 3 or fewer designated members. $1,100

Contributing Member: Solo Practitioner, Trade or Professional Association, and Individual Member of Law Firm or Company. $425

Associate Member: Law School, Full Time Law Faculty, Landman, Full Time Government Employee, Retiree, Young Lawyer (1-3 years in practice) $100

Associate Member Type :*

You have selected Law Student as Membership Type, please fill out the following

Law School :

Year of Graduation :

Total

$0.00

Select Payment Method:*

Credit Card
Check

Please make the check payable to EMLF, and send to 3070 Lake Crest Circle, Suite 400-328, Lexington, KY 40513.

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name