NLG Online Membership Form Page 2

Guild membership includes a full year's subscription to “Guild Notes” and “Guild Practitioner;” access to committees; discounted fee at annual Guild convention; puts your name in our annual "Referral Directory"; and makes you one of thousands working for social change. Dues are expected annually, by the end of the quarter in which you last paid your dues (i.e. if you paid in 1st quarter 2005, to stay current you must pay your dues by the end of 1st quarter 2006).

New Member Renewing

Name

Address

City State Zip
Is this address your (home) or (office)

Phone Fax

Email

YES, add me to the Guild's Announcement Listserv, NLG-Announce
YES, add me to the NLG student listserv (students only)

Other Optional Personal Information (race, gender, age, sexuality, etc):


I would like to be a member of The United People Of Color Caucus, or TUPOCC – (open to members of the NLG community who self-identify as people of color.)

Professional Status:

Attorney Legal Worker Law Student Jailhouse Lawyer

Area(s) of concentration:

Law School
Year of Graduation

PUBLICATIONS:
The NLG is now making some of its publications available digitally. You can choose to receive major publications such as Guild Notes digitally to save paper and money. Please note that you still may receive some regular mail from the National Office from time to time even if you choose digital.

I would like to receive my Guild publications as: PRINT DIGITAL

PERSONAL INFORMATION:
Please do NOT give my name/number for legal referrals
Please do NOT list my name in the annual NLG Referral Directory.

NOTE: If you check the above item off, your name will not be printed in the complete list of current Guild members that is printed in each NLG Referral Directory

Please do NOT give out my information for any other purpose.

NOTE: Leaving the above boxes blank for any reason will be considered authorization to release member information for the above listed purposes.

We also offer firm memberships and family memberships. If you join or renew as a firm or family you need only pay 75% of the total cost of membership dues for all members to join as individuals. Thus, if you have two lawyers in a family who would normally pay $200 each, you only need pay $300.

Payment Information

I am a member of a minority bar association (one-half standard dues enclosed).
NCBL LaRaza Other