Florida Defense Lawyers Association

About the Florida Defense Lawyers Association

*Indicates required field
* Last Name:
* First Name:
Middle Name:
* Address:
* City:
* State:
* Zip:
* Phone:
Fax:
* Email:
Firm Name:
* Number of Years: (Total in practice)
* Private Practice:
* Birth Date: (MM/DD/YYYY)
* Place of Birth: (City, State)
* Date of Admission to the Florida Bar: (MM/YYYY)
* Florida Bar Number:
* Degrees Held: (Year of Graduation and School)
* Bar and other professional organizations to which you belong:
* Are you now devoting a substancial portion of your professional time (more than 51%) to the practice of civil litigation?
If so, what percentage of your time is so spent?	%
* What area compromises the largest portion of you defense practice? (e.g. medical malpractice, automobile, product liability, workers' compensation, insurance coverage, appellate, etc.)
* Initiation fee and first annual dues are enclosed (to be refunded if this application is not approved).	Initiation fee - $75.00 Annual Dues If practicing more than 5 years - $225.00 If practicing less than 5 years - $125.00 Total Enclosed $
NOTE: When any single law firm has paid in dues for its members an amount equal to ten times the highest membership class of dues, there will be no initiation fee for additional members and such additional members shall receive a discount of 50% of the dues hereinafter set forth.	I am eligible for this discount. I am NOT eligible for this discount.
Are you interested in any of the following?	Editorial aspect of the Trial Advocate Quarterly Contributing material to the Trial Advocate Quarterly Occasionally writing a brief for the Amicus Brief Program Continuing Legal Education programs Legislative Action Committee Other:
Are you a member of any of the following organizations?	DRI FICC IADC ADTA ABA Other: