Membership Application Membership Level* Level I, Strategic Membership $150,000 Level II, Strategic Membership $100,000 Level III, Partner Membership $50,000 Level IV, Partner Membership $25,000 Level V, Support Membership $17,500 Level VI, Support Membership $10,000 Level VII, Support Membership $5,000** Level VIII, Support Membership $1,500*** Choose Firm Type* Corporate Law Department Law Firm Company InfoCompany Name* Industry* General Counsel Name* General Counsel Complete Title* General Counsel Email* General Counsel Phone*General Counsel Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code MCCA Membership Point of Contact (POC)Membership POC Name* Membership POC Title* Email* Phone*Mailing Address* Same as GC Mailing Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Firm InfoFirm Name* Managing Partner Name* Email* Phone*Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Diversity Chair InformationDiversity Chair/Director/Manager Name* Diversity Chair/Director/Manager Complete Title* Diversity Chair/Director/Manager Email* Diversity Chair/Director/Manager Phone*Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code MCCA Membership Point of Contact (POC)MCCA Membership Point of Contact (POC) Name (If different from Diversity Chair/Director/Manager)MCCA Membership Point of Contact (POC) Title (If different from Diversity Chair/Director/Manager)PhoneEmail Mailing Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a Minority/Women owned law firm? Yes No How many full-time attorneys are employed in your legal department or law firm?* How did you hear about MCCA?* Google LinkedIn YouTube Email Colleague Why do you want to join MCCA?*Legal Department Demographics (include all U.S. offices only)Enter Number of AttorneysMinority Attorneys Women Attorneys LGBTQ+ Attorneys Attorneys with disabilities Law Firm Demographics (include all U.S. offices only)Enter Number of AttorneysMinority Attorneys Women Attorneys LGBTQ+ Attorneys Attorneys with disabilities MCCA is exempt under Section 501(c)(3) of the Internal Revenue Code. Tax ID #13-3920905** Reserved only for law firms with less than 100 full-time attorneys and less than 10 full-time attorneys for corporate legal departments.*** Reserved only for small law firms, which is defined as having less than 10 full time lawyers in the firm and less than 3 in corporate law department.NameThis field is for validation purposes and should be left unchanged. Δ
