NALSC Supporting or Associate Membership Application

I, the undersigned, hereby apply for membership in the National Association of Legal Search Consultants (NALSC®). If accepted for membership, I/my search firm agree to operate in accordance with the bylaws, Member Code of Conduct, and Antitrust policy. My signature certifies that the information on this application is accurate and true and I/my firm agree to pay appropriate dues in order to become and remain a member in good standing of the association.

I Certify

Full Name *

Date

Signature

Clear

Level of Sponsorship: *

Supporting Member (Law Firms) - $1,000 per year

Associate Member (Suppliers of goods or services to the legal recruitment industry) in conjunction with NALSC sponsorship - $1,000 per year

Company / Firm Name *

Mailing Address *

City *

State *

Zip Code *

Phone *

Additional Phone

Toll-Free

E-mail *

Additional E-mail

Website

Brief description of firm/company (to be posted on website and printed in membership directory)

Are you a certified business enterprise?

PAYMENT INFORMATION

Payment Type: *

Check

Credit Card (Visa, Master Card, American Express)

Please mail check to NALSC, 12555 Orange Dr., Suite 4207, Davie, FL 33330.

Card Holder Name

Payment

Signature *

Clear

Date *

Thank you! We greatly appreciate your support.

NALSC Application for Supporting or Associate Memberships