MBLA Group Rate Membership - Application - Massachusetts Black Lawyers Association

MBLA Group Rate Membership – Application

This form it to be used by a Sponsoring Entity to submit an application to participate in the MBLA Group Rate Membership Program.

Sponsor Entity Information:
Company/Organization:*
Address*
Street Address Address Line 2 City State ZIP Code
Contact Person*
Who should the MBLA contact in connection with this application.
First Last
Email*
Phone*
Number of attorneys*
Please include the total number of attorneys to be included.
Attorney Member Information:
Please provide the name and email address for each attorney who will receive an MBLA membership in connection with this application.
Please enter a list which includes the names and email addresses of all attorneys who will receive memberships under this application or upload as an attachment.
Please enter a list which includes the names and email addresses of all attorneys who will receive memberships under this application or upload as an attachment.
File Upload
Max. file size: 50 MB.
Email
This field is for validation purposes and should be left unchanged.

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By Eron Hackshaw|2023-06-12T17:38:09-04:00April 6th, 2018|Blog|Comments Off

MBLA Group Rate Membership – Application