Join Us – Lawyers Inner Circle, Membership by Invitation Only, Plaintiff’s Injury Law Firm

Membership in Lawyers Inner Circle is by invitation only. Eligibility requirements are:

FULL NAME:

NAME OF LAW FIRM:

EMAIL:

LAW FIRM WEBSITE:

MAILING ADDRESS:

Street Address

P.O. Box

City

State

Zip

OFFICE PHONE:

CELL PHONE:

I wish to apply for membership in Lawyers Inner Circle for the following television markets:

One T. V. Market: Included in price of membership.
Two T. V. Markets: TOTAL cost of $8,497.00 (membership + $1,000.00)
Three T. V. Markets: TOTAL cost of $9,497.00 (membership + $1,000.00 + $1,000.00)

Click here for information on the coverage of each T.V. Market.

Name of T. V. Market # 1:

Name of T. V. Market # 2:

Name of T. V. Market # 3:

TOTAL:-

Requested Userid for access to lawyersinnercircle.com:

Requested Password:

I understand that the cost of the annual membership per television market area is an annual fee of $7497.00, which must accompany the application. If you wish to have more than one television market the cost is reduced to $1000.00 for the second market and $1000.00 for the third market.

I understand that my acceptance is on a first come, first paid basis and Lawyers Inner Circle will refund my fee paid if I am not the first paid applicant for the requested television market area.

I understand I may bring one other member of my firm to the semi-annual meetings for no additional charge.

In applying for membership I agree to the following:

All matters discussed or divulged to me during any meetings or through my membership with Lawyers Inner Circle or its website or privileged and confidential and will not be revealed by me to anyone outside Lawyers Inner Circle.
Lawyers Inner Circle members is formed for an exchange of ideas and information designed to help me increase my marketing base and not for use except within my secured television market area.
Membership begins on January 1st and ends December 31st. Renewal for the following year must be made by November 30th of each year or the market will be given to someone else.

Payment by Check:

To pay by check, please click SUBMIT and then send your payment to:

Lawyers Inner Circle
P.O. Box 17864
Raleigh, NC 27619-7864
919-821-4004
866-779-6755 toll free
919-835-1379 (Attn: Lauren Black) fax

We will hold the t.v. markets you have chosen for 5 working days from the receipt of the online form.

Date::