Instructions: New Members please complete parts 1 & 2; renewing members please complete only part 1. Return this form with your membership dues; see part 3.
Part 1. Information: to be completed for both new members & renewals.}
Name of firm or local government employer: ____________________________
Primary Telephone: ( ) ____________________
Names & email addresses & Bar ID #s of attorneys covered:; please type or print legibly. Attach separate sheet for additional attorneys, if needed.
Name Exact email address
Part 2. For New Member Applicants Only:
For law firms or individual attorneys who are not employed as legal counsel by a municipality, please describe your municipal practice and list representative clients:
Part 3 Dues Computation:
Number of individual attorney memberships __ @ $25 each = $ _______
Please return a check for correct amount with this form to:
NHMLA, 414 East View Drive, Pembroke, NH 03275.