Name* First Last Alabama Bar #* (i.e. 1234-X56X)Firm/Employer* Phone*Firm Administrator’s Name Firm Administrator’s Email Mailing 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. $50.00 – Retired Member – Age 62 or older and no longer engaged in the full time practice of law. FREE – Honorary Member – Age 70 or older and no longer actively practicing law, provided the lawyer was a member of ADLA for 10 consecutive years prior to retirement. Total $0.00 Payment Method* Check Credit Card Billing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card Card Details Cardholder Name If membership is renewed, I agree to abide by the By-laws of this Association.Applicant Signature*Date PhoneThis field is for validation purposes and should be left unchanged.