Application for Corporate Legal Department Members



   

National Association of Women Lawyers
Application for Corporate Legal Department Members


Registrant Information
Corporate Name and Division:
Contact Name:
Contact Address:
City: State:
Zip:
Contact Email:

Your email address will be held in strict confidence and be used only for correspondence from the National Association of Women Lawyers®. If you control spam by having an approved list of addresses from which you receive email, be sure to put nawl@nawl.org on your approved list.
Phone Number:
Fax:
Website:
Legal Department Locations:
 
Additional Contact Name & Addresses
(for additional receipt of membership materials if desired):
 
Name:
Address:
E-mail:
Phone:
Fax:
 
Amount Dues

  Dues
1-99 Attorneys @ $250.00
100-300 Attorneys @ $350.00
Over 300 Attorneys @ $500.00
*Individual Memberships for your corporate legal department's attorneys will be $55/year.


Payment: (check one; complete all information)  
Amount Total:  
Credit Card: Visa Master Card American Express
*Card No.: Exp. Date:


National Association of Women Lawyers®
American Bar Center, MS 15.2
321 North Clark Street
Chicago, IL 60651
Phone 312.988.6186
Fax 312.988.5491
nawl@nawl.org