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:

  • Who should the MBLA contact in connection with this application.
  • 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.
  • This field is for validation purposes and should be left unchanged.
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