Firm Membership Application

After filling out the form below and completing the electronic payment, please hit Return to Merchant to submit an application form for each individual attorney member.

"*" indicates required fields

Firm / Company Name*

Address*

Street Address City State ZIP Code

Firm / Company Contact Name*

Firm / Company Contact Email Address*

Telephone Number

(For purposes of the Membership Directory, please list the main telephone number of the firm or company.)

Fax Number

Firm Memberships*

Below are flat rates being offered to firms with 10+ active members. Firms electing the flat rate will be included in our listing of member firms published on the SFIPLA web site. Please select one of the following options:

10 to 19 Members-$1,100.00

20+ Members-$2,000.00