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Standard Membership Years 1 & 2 ($100/year)
Standard Membership Years 3 & 4 ($150/year)
Standard Membership thereafter ($255/year)
Non-Practicing Attorney ($150/year)
Non-Resident ($150/year)
Retired ($150/year)
Judicial ($150/year)
Law Student (Free)
If you are registering for a membership with no fee attached, the credit card information is not required.
Applicant Information
Salutation
Mr.
Mrs.
Ms.
Miss
First Name
*
M. I.
Last Name
*
Suffix
Mailing Address
Company Name
Address Line 1
Business Address
Home Address
Address Line 2
Business Address
Home Address
City
State
Zip
Mail Preference
I prefer to be mailed to my business address
I prefer to be mailed to my home address
Shipping Address
Company Name
Address Line 1
Business Address
Home Address
Address Line 2
Business Address
Home Address
City
State
Zip
General Information:
Business Phone
Business Fax
Email Address
*
Bar License No
Date Admitted to Maine Bar
MM/DD/YYYY
Date of Birth
*
MM/DD/YYYY
Payment Options
Name on Credit Card
*
Credit Card Number
*
Expiration Year
*
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
*
Billing Recipient
Please bill me
Please bill my employer
*
Billing Address (if different than above)
Address Line 1
Address Line 2
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Please answer the following questions:
Are you licensed to practice in other jurisdictions? If so, please list including dates of admission.
What is the number of lawyers in your firm/company?
What law school did you attend, including degree and year?
Are you active, not active, or retired?
Active
Not Active
Retired
If active, please list three major areas of practice:
If not active, what is your present occupation?
Please list any public/professional offices you hold or have held:
Do you speak, read, or write any foreign languages?
Please list bar associations of which you are a member
Please list community activities and associations of which you are a member.
Have you ever been disciplined in any jurisdiction?
If yes, please explain.
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