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NYCLA Secure Online Membership Application
Fill out the confidential application form below to become a member of NYCLA. Students fill in all applicable fields.
• Use the "tab" key to move from field to field.
• Fields with are required.
• Click "review your application" at the bottom when finished.
Please note that dues are nonrefundable.


Personal Information
Title
First Name
  Middle Initial
Last Name
Sex
Date of Birth (mm-dd-yy)
Firm/Employer
Business Address
City
State
Zip
Business Phone
Business Fax
Email
  Website Address
Home Address
Home City
Home State
Home Zip
Home Phone
Preferred Mailing Address
Date Admitted to NYS Bar (month/year)
  Department
  Other State Admission
  Admission Date (month/year)
  Law School Attended
  Date of Graduation
 (Students: state expected date of graduation)
  Ethnicity
How did you hear about NYCLA?
  Other
  Sponsor Name
  Sponsor Phone
Practicing Attorneys Only
Practice Profile
  Other
Dues
Attorneys seeking membership from out of state or qualified Public Sector applicants must complete the application process by mailing or faxing the required documents. Click here for more information.
Dues Category
 Click for more info
  Public Sector Discount
Click for more info
Areas of Practice
List in order of importance
Area 1
Area 2
Committees and Sections
Select the committee(s) and/or section(s) you wish to join using the fields below.
All committees are free to join. There is a $25 fee to join sections marked with an asterisk (*).
Choice 1
Choice 2
Choice 3
Payment Information
Credit Card Type
Credit Card Number
Expiration Date  
Name as it appears on card 
Comments
If you have any special requirements or questions regarding your application, please indicate them below. Please provide an email address for NYCLA to reply to.
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