Forum Membership Application

Annual membership dues, effective January 1st through December 31st, are neither prorated nor refunded. By submitting this membership application you are in agreement with these terms.
 
Section 1: Membership Information
Chapters    
  Atlanta
Austin/San Antonio
Dallas/Fort Worth
Houston
Other
 
 
Section 2: User Information
I certify that I am a General Counsel or Managing Counsel*   
  Yes
No
 
I certify that I am a General Counsel or Managing Counsel in the legal department of a corporation or entity who has significant leadership and managerial responsibility, which may include (i) leading a major functional area (e.g., litigation, securities, intellectual property), (ii) serving as a lead attorney for a major business unit, or (iii) supervising one or more lawyers. Membership eligibility will be verified.

 
Indicate the number of attorneys in your legal department who qualify for membership, including yourself*   
 
Company Industry*
  
I would like information on serving on the local chapter Board or key Committee.   
  Yes
No
 
First Name*
  
Initials
  
Last Name*
  
Company*
  
Name preferred for Event Badges   
 
Title*
  
Mailing Address*
  
Address 2
  
City*
  
State*
  
Zip Code*
  
Work Phone*
  
Fax
  
Mobile Phone
  
E-mail*
  
Providing your e-mail address allows you to receive timely information from the Forum. It is a Forum policy to not sell or distribute e-mail addresses of members.

 
Assistant Name
 
Assistant Phone
 
Assistant Email
 
 
Section 3: Referred By:
Member Name
  
Referral Source   
  Internet
 
Other
  
 
Section 4: Payment -- Memberships are transferable in the event a General or Managing Counsel is replaced.
Membership Type*
 $2,500.00 - Corporate Mentoring Sponsorship: (to develop legal department leaders): The Chief Legal Officer and up to 7 managing attorneys. The member company will be prominently listed in promotional materials
$1,500.00 - Corporate Underwriter:: provides one regular corporate membership. Member’s company or organization is prominently listed in promotional materials and the Forum website
$0.00 - Legal Department Membership Discounts:
$1,000.00 - The Chief Legal Officer and up to 3 department managers:
$1,250.00 - The Chief Legal Officer and 4 department managers:
$1,500.00 - The Chief Legal Officer and 5 department managers:
$1,750.00 - The Chief Legal Officer and 6 department managers:
$2,250.00 - The Chief Legal Officer and 8 department managers:
$500.00 - Individual Corporate Member:
$250.00 - Individual Federal, State, Municipal, or Non-Profit Membership:
 
Payment Method*
    Credit card
    Send invoice
 
 

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