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.