Join/Renew CWL Membership

Main Contact (to be displayed online)
First Name *
Last Name *
Firm/Agency/Court Name
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Email *
Billing Address (if different)
Additional Information
Referred by
How did you hear about us?
What is your reason for joining?
Membership Investment
I am already a member, I am renewing.
Law Student / Newly Admitted (1yr) Membership $0
Life CWL Membership $2500
Regular CWL Annual Membership $60
Discounted Membership (In-House Counsel, affiliates, judges, government emps, public interest/nonprofit lawyers) $30
Membership Type: *
I hereby certify I am in-house counsel:
Name of Company:
I am interested in becoming a mentor:
Practice Type:
City of Practice:
Primary Directory Category *
Additional Directory Categories
**Hold CTRL on your keyboard to select multiple categories**
Total: $ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets Cost
Additional Categories Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
Number of Full Time Employees:  
Number of Part Time Employees:  
Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
Enhanced Membership ($50):
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information
Credit Card Type *
Credit Card Number * 
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
Credit Card Email Address
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