Please print and complete application and return with payment to :
Lynn Morton, Director of Membership Services
MCDAA
720 Light
Street
Baltimore, MD 21230
NAME:
FIRM:
ADDRESS: CITY:
STATE ____________ ZIP CODE:
COUNTY:
PHONE (Office): FAX:
EMAIL: WEBPAGE:
DATE OF BIRTH:
Court of Appeals admission date:
Check one:
Active Criminal Defense Attorney
Law Student - University
Date of Graduation
Judicial officer - title and court
Sustaining Membership Dues.......................................................... $200.00
Regular Membership Dues (More than 5 years in practice)..........$90.00
Regular Membership Dues (1-5 years in practice).........................$75.00
Full Time Public Defender..................................................................$40.00
Full Time Student.................................................................................$25.00
Date Signature