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Events
- Events
About Us
Members
- Sign Up
- Log In
- Account
- Profile
- Directory
- Job Opportunities
Leadership
- Board Committees
- Past Presidents
Scholarships
Resources
Contact
- Submit an Employment Opportunity
- Submit Your News & Announcements
Donations

Dues Assistance Program

MBLA Dues Assistance Program Application 2018-2019 program year

Please use this form to submit your application for the MBLA Dues Assistance Program. This program is to ensure that those who want to join the MBLA have an opportunity to do so.

Date:*
MM slash DD slash YYYY
Name:*
Prefix First Last
Employment Status:*
- Fully Employed
- Unemployed
- Underemployed
Employer:*
Position:*
Employer Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone:*
Email:*
Earliest/Prospective Date admitted to Any Bar:*
MM slash DD slash YYYY
MBLA Membership Status:*
- New Member
- Renewing Member
Number of Times You Applied to This Program:*
Requested Membership Types:*
- Academia, Government or Legal Service $50.00
- Practicing Less Than 5 Years $75.00
- Practicing More Than 5 Years $150.00
Requested Dues Reduction Rate:*
- By 25%
- By 50%
- By 75%
Reason for Applying to the Dues Assistance Program:
Benefits you Expect to Gain from Membership:

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Contact Info

16 Beacon St, Boston, MA 02108

Email: info@mablacklawyers.org

Web: https://mablacklawyers.org

Contact Info

16 Beacon St
Boston, MA 02108

info@mablacklawyers.org