Membership Application

Qualification (Pick One):

Military Def Lawyer
Civilian Def Lawyer
Assoc. / Investigator / Paralegal

Current Position

Base (If Applicable)

Membership Type (Pick One)*

Civilian Attorney ~~$200~~ $119
Military Attorney ~~$100~~ $60
Law Professor ~~$125~~ $75
Military Judge ~~$150~~ $85
Spotlight Attorney ~~$299~~ $199
Associate ~~$85~~ $50
Sustaining ~~$349~~ $229

All prices are annual. Current prices through April 1, 2018.

Username*

First Name*

Last Name*

Middle

Suffix

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Law School

(Campus if applicable)

Graduation Year

State Bar

Admission Date*

State Bar Number

Is your license current and in good standing? (Pick one)

Yes
No

Have you ever received a complaint through any state bar? (Pick one)

Yes
No

If Yes, Please Explain:

Have you ever received a complaint through military practice? (Pick one)

Yes
No

If Yes, Please Explain:

Has any ethical complaint lodged against you been determined to be substantiated through your state bar? (Pick one)

Yes
No

If so, please explain:

Has any ethical complaint lodged against you been determined to be substantiated through your military practice? (Pick one)

Yes
No

If so, please explain:

Military Branch of Service (if applicable)

AC
RC
NG

As a Judge Advocate?

Yes
No

Years?

Military Practice (Number of Courts-Martial as Lead Counsel in Contested Members Trial)

By your signature on this sign up form, you are representing that you are a “military defense attorneys” which means that you are a uniformed military defense attorneys (currently serving as military defense counsel, military senior defense counsel, military regional defense counsel, OICs of defense service offices) in all branches of service, to uniformed military defense appellate counsel and those supervising these military attorneys, or that you are a civilian attorney practitioner that currently practices on a regular basis in military courts-martial, military administrative hearings, and that file on behalf of military members or veterans applications for discharge upgrade and / or correction of military records, or that you are an “associate” who is defined as a non-lawyer that assists in military criminal defense practice, including criminal investigators and / or paralegals. Otherwise you are attesting that you are a law professor or military judge.

Signature of Applicant*

Date*

IAMDL Membership

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