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New Member Application
Prefix
*
First
Middle
*
Last
*
Title
*
Business Name
*
Business Address
Business Address 2
*
City
*
State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
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NH
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OK
OR
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PW
RI
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SD
TN
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VI
VT
WA
WI
WV
WY
*
Zip
*
Country
*
Phone
FAX
*
Business Email
Alternate Email
*
User Name
*
Are You Currently Employed as a Paralegal?
--Please select--
Yes
No
*
Years of Paralegal Experience?
--Please select--
1 - 5 years
6 - 10 years
11 - 15 years
16 - 20 years
21 - 30 years
31 + years
N/A
*
Do You Have a Paralegal Certificate?
--Please select--
Yes
No
What Paralegal School Did you Attend?
*
Are You a Paralegal Student?
--Please select--
Yes
No
*
What is Your Firm's or Departments Size?
--Please select--
1-25 attorneys
26-75 attorneys
76-150 attorneys
151 - 250 attorneys
251 + attorneys
N/A
*
Do You Work In?
--Please select--
Law Firm
Corporate Legal Department
Non-Profit Legal Department
Government Legal Department
Other
N/A
*
What Area of Practice Do You Work?
--Please select--
Bankruptcy
Workers Comp
Family Law
Immigration
IP/Contractual Law
Real Estate
Litigation - Plaintiff
Litigation - Defense
Corporate Legal
Other
N/A
*
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