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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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 NameThis field is for validation purposes and should be left unchanged.