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PaTLA: fostering public awareness and understanding of the role of the trial lawyer in the administration of justice.

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2007 New Member Application

Your PaTLA membership will provide you & your practice with a variety of benefits. Dues are valid to 12/31/2007.

Use this form to become a new member by credit card.
To pay by check, print this page and mail to: 121 S. Broad St., #600, Philadelphia, PA 19107

To renew your current dues, please go to Renew. To add a section to your existing membership, go to Sections.

Questions? Please call PaTLA at (215) 546-6451 ext. 107 or email nathan@patla.org.

Prefix
*First Name
  Middle Initial or Name
 
*Last Name
  Informal(Bob)
 
Suffix
Designation(Esq.)

 
   
*Firm

*Street Address, Suite #

Building Name, P.O. Box

 
*City

*State

  *Zip Code

 
PA Supreme Court
ID No.(required for Attorneys)
Year Admitted to Practice
  *County (If outside of PA, select Out of State)
 
*Phone#
Fax#
  *E-Mail (bob@domain.com)

Your home address will be used to identify legislative district
numbers and will only be used by PaTLA. By policy of the PaTLA Executive Committee, we will not sell residential address data about our members.

Home Address

Home City

State
Zip Code



PaTLA Web Site
To access the PaTLA web site, enter a login ID and a password. If you are an attorney in Pa., you are required to use your Supreme Court ID for your login ID. The password must be at least 6 characters in length and must contain both alphabetical and numerical characters. Please remember to write these down before clicking 'Sign - Up'

*Login ID

*Password


Areas of Practice

Automobile
Bad Faith
Civil Rights
Commercial
Criminal
Employment
Family
Medical Malpractice
Premises Liability
Products Liability
Toxic Torts/Class Action
Workers' Comp
   
Represent
Plaintiffs
Defendants
Communication Preference
Email
Fax
Mail
No Preference
   
Firm Size
1 to 2 Employees
3 to 9 Employees
10 or more employees
Gender (Optional)
Male
Female
   

Member Categories - Who can join?

New Members - $199

Attorney member admitted to practice:

1987 or earlier - $395
1988-1997 - $350
1998 2001 - $325
2002-2004 - $195
2005 - $100
New Bar Admittee - $50

Champion of Justice - $2,500
President's Club - $1,500
Sustaining Member - $750

Out of State Attorney - $125
Law School Professor/Public Interest Attorney- $125
Judicial Law Clerk (full-time) - $95
(Please provide the name of the judge in the 'Firm' field above)
Paralegal (full-time) - $95
Law Student (full-time) - $35

Sections & E-Mail Listservs(Additional) more info...

Automobile Insurance Law $150
Fire/Property Insurance Litigation $25
Insurance Bad Faith $50
Medical Malpractice $300
Workers' Compensation $125
New Lawyers FREE (members in practice less than 10 years)
E-Mail Listserv: E-mail me about Section Listservs.


Payment Method

Your credit card information will be encrypted and sent to PaTLA for processing. You will be notified via e-mail when your application has been accepted & processed, in 1-4 business days.

Credit Card Type
American Express
Discover Card
Master Card
Visa

Name on credit card

Credit Card Number

Credit Card Expiry Date


Checks: Make payable to PaTLA Please print this form and mail to PaTLA at the address below.

Amount Payable:   $

           

Important: Your dues payment will not be deductible as a charitable contribution, but will, in general, be deductible for most members as a business expense, exception to the extent provided in the next sentence. Pursuant to the Revenue Reconciliation Act of 1993, Pennsylvania Trial Lawyers Association estimates that 24% of your dues payment will not be deductible as an ordinary and necessary business expense because of PaTLA's lobbying activities on behalf of its members.

One-year subscription to PaTLA News ($50 value) is included in your dues. Membership is valid to 12/31/2007.

Questions about this form? Questions about PaTLA membership? Please call PaTLA at (215) 546-6451 ext. 107 or email nathan@patla.org

PaTLA 121 South Broad Street, Suite 600 Philadelphia, PA, 19107
Tel   215.546.6451 Fax  215.546.5430
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