Membership Application Form

 

Fill Out Online Download Paper Copy

Primary Contact Information

Name
Address
I am:
MM slash DD slash YYYY

Please List Your Primary Practice Areas (Up to 4)

Please Provide 3 Major Verdicts or Settlements

MM slash DD slash YYYY
MM slash DD slash YYYY

Please List 2 Significant Career Achievements

(Please attach additional pages if you require more space)
MM slash DD slash YYYY
MM slash DD slash YYYY

Please List 2 Professional References:

Name
Name

How Did You Hear About The Trial Lawyers of Puerto Rico?

(Please list their names)
(Please list their names)
(Please list their names)

Annual Membership Dues

The full amount will be due upon acceptance at which time wire payment instructions will be provided.
Regular Membership:

Membership Benefits Include:

  • Discount to Annual Conference
  • A Wall Plaque
  • Badge Icon to Display On Your Website
  • A Backlink to Your Website
  • A Professionally Written Press Release Regarding Your Membership
  • Exclusive Invitation To TLPR Network Gatherings And Social Events

I:(Required)
MM slash DD slash YYYY