Name* First Last Alabama Bar #*(i.e. 1234-X56X)Firm/Employer*Phone*Firm Administrator’s NameFirm Administrator’s EmailMailing Address*County*Email* (By providing the above, you are granting express consent to receive e-mails from ADLA.)Date Admitted to Alabama Bar*Areas of Practice (Select at least one):* Alternative Dispute Resolution Business Litigation Construction Law Drug and Medical Device Employment/Labor Governmental Liability In-house Counsel Insurance Defense Medical Liability/Health Care Products Liability Professional Liability Toxic Torts/Environmental Trucking Defense Workers’ Compensation Other Other Area(s)Percentage of your civil litigation time devoted to defense representation – (Must be greater than 51%)*Membership Categories*$200.00 - Active Member – Lawyer who has held a state Bar License 10 years or more, based upon the date admitted to first bar.$200.00 - Young Lawyer – Age 40 or younger, or any member who has been practicing law for less than 10 years, regardless of age.Total $0.00 Payment Method*Credit CardCheckIf accepted as a member, I agree to abide by the By-laws of this Association.Applicant Signature*DateNames & email addresses of 2 sponsors who are current members of ADLA.Current Member Name*Current Member Email Current Member Name*Current Member Email Optional -ADLA is committed to the principle of diversity in its membership and leadership. Accordingly, applicants are invited to indicate which of the following may best describe them:Race Male Female Caucasian African American Hispanic Asian American Native American Other OtherDate of BirthADLA is exempt from Federal taxation under IRC 501(c)(6). Membership dues are not tax deductible as a charitable contribution; they may be deductible as a business expense. Federal ID #63-0779651NameThis field is for validation purposes and should be left unchanged.