The New York Intellectual Property Law Association, Inc.

Application for Membership

I hereby apply for membership as an

active1	associate2 or	student3
member in The New York Intellectual Property Law Association, Inc.

I hereby certify that (check one):
(For Active Membership) I am a lawyer admitted to practice in a state or territory of the United States or the District of Columbia, interested in patent, trademark or copyright law, of good character and in good standing and have a residence or regular and established office in the Second Judicial Circuit or in the District of New Jersey, as now fixed by law.
(For Associate Membership) I am a lawyer interested in patent, trademark or copyright law, of good character and in good standing, and do not have a residence or a regular and established office in the Second Judicial Circuit or in the District of New Jersey, as now fixed by law, or am admitted to practice but not in a state or territory of the United States or in the District of Columbia.
(For Student Membership) I am not a lawyer, but am regularly enrolled as a candidate for a professional law degree in a law school approved by the Association of American Law Schools and would be otherwise qualified for membership, if a member of the Bar.

Name:
Residence (home address):
Business Name:
Address:
Telephone:
Fax:
Email:
First Admission to Bar:
	(State, Territory or District of Columbia)	(Date)
Admitted to New York State Bar:	YES NO	Date
Law School (For Student Members):
Signed:
	(Applicant)	(Date)

The undersigned member of The Committee of Membership states that said member has reviewed the application of the above-named applicant for membership in the Association; states that, to the best of the member's information and belief, the applicant has the qualifications for membership required by the Bylaws of the Association; and recommends the above-named applicant for Active/Associate/Student membership in the Association.

Signed:		Date:
Name of Member of Committee on Membership

1 An active member is a lawyer admitted to practice in a state or territory of the United States or the District of Columbia and having a residence or a regular and established office in the Second Judicial Circuit or in the District of New Jersey.

2 An associate member is a lawyer admitted to practice but not in a state or territory of the United States or the District of Columbia or not having a residence or a regular and established office in the second Judicial Circuit or in the District of New Jersey.

3 A student member is a person who would be otherwise qualified for membership, if a member of the Bar, and who is regularly enrolled as a candidate for a regular law degree in a law school approved by the Association of American Law Schools.