If joining as an organization:

MEMBER ORGANIZATION NAME: ______

NAME OF CONTACT FOR ORGANIZATION: ______

If joining as an individual:

NAME OF INDIVIDUAL APPLICANT: ______

ORGANIZATIONAL AFFILIATION (FIRM, LAW SCHOOL, etc.):______

All applicants:

ADDRESS: ______
CITY: ______

TELEPHONE: ______

EMAIL: ______

SIGNATURE: ______

IMPORTANT: Please indicate the desired Membership Category from the list of options on the AtlAS website :

o  $1,000 for law firms with more than 10 lawyers (which will entitle those firms to AtlAS website listings for six lawyers)

o  $500 for law firms with fewer than 10 lawyers (which will entitle those firms to AtlAS website listings for three lawyers)

o  $250 for individuals who will be listed on the AtlAS website

o  $500 for non-firm organizations; and

o  $150 for full-time academics (Full time students or faculty)

Consistent with the Membership category selected please indicate individual members of your organization to be listed on the “Membership Roster” of the AtlAS website:

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

Please also provide either a URL to a webpage biography for each individual listed above or send PDF biographies for each individual to

.

PAYMENT:

AtlAS will accept checks, credit card and a wire transfer as payment for membership:

·  Checks: Please make all checks payable in U.S. dollars to Atlanta International Arbitration Society, Inc.

·  Credit cards: Please email Rebecca Lunceford at

·  to process your transaction.

·  Wire Transfers: Please email Rebecca Lunceford at

·  for wiring instructions.

Note: No payment is required for membership by in-house counsel; however, to maintain membership, in-house counsel are expected to attend at least one (1) AtlAS meeting per year.

Membership will not be confirmed until written request is received. Please fax or email form and send payment to:

Atlanta International Arbitration Society, Inc. (AtlAS)

Attn: Rebecca Lunceford
999 Peachtree Street NE| Atlanta, GA 30309-3996
404.853.8168direct | 404.853.8806facsimile