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Non-profit or Law Firm Membership Application

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Solo Practitioners or Law Students: please register as individual user.

Rates:

Non-Profit with 0-3 attorneys/DOJ reps: $285/yr
Non-Profit with 4-10 attorneys/DOJ reps: $440/yr
Non-Profit with 11-20 attorneys/DOJ reps: $750/yr
Non-Profit with 21-35 attorneys/DOJ reps: $950/yr
Non-Profit with 36-50 attorneys/DOJ reps: $1,500/yr
Non-Profit with 51-75 attorneys/DOJ reps: $2,000/yr
Non-Profit with 76+ attorneys/DOJ reps: $2,500/yr
Law firm with 2-5 attorneys: $600/yr
Law firm with 6-10 attorneys: $900/yr
Law firm with 11-15 attorneys: $1,500/yr
Law firm with 16-20 attorneys: $1,750/yr
Law firm with 21-35 attorneys: $3,000/yr
Law firm with 36+ attorneys: $5,000/yr

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Membership Type

Membership:

Non-Profit Organization (0-3 attorneys/DOJ reps.)

Non-Profit Organization (4-10 attorneys/DOJ reps.)

Non-Profit Organization (11-20 attorneys/DOJ reps.)

Non-Profit Organization (21-35 attorneys/DOJ reps.)

Non-Profit Organization (36-50 attorneys/DOJ reps.)

Non-Profit Organization (51-75 attorneys/DOJ reps.)

Non-Profit Organization (76+ attorneys/DOJ reps.)

Law Firm (2-5 attorneys)

Law Firm (6-10 attorneys)

Law Firm (11-15 attorneys)

Law Firm (16-20 attorneys)

Law Firm (21-35 attorneys)

Law Firm (36+ attorneys)

OVW Grantees thru 9/30/2021

OVW Grantee/Sub-Grantees Organization

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For attorneys: I certify that I am, and that all attorneys included in this membership are attorneys eligible to practice law in, and a member in good standing of, the bar of the highest courts of the following states, possessions, territories,commonwealths, or the District of Columbia.

Yes

For agencies including DOJ accredited representatives in membership: I certify that our agency is an authorized service provider and the DOJ representatives included in this membership are authorized to practice.

Yes

How many attorneys/representatives are you requesting to include in this membership?

Membership Criteria

ASISTA members are individuals, organizations, agencies, and firms that serve immigrant survivors of violence in a professional capacity and in a manner that is consistent with ASISTA’s mission. Applicants for a non-profit organizational membership must have 501(c)(3) IRS tax designation. Employees of the federal government and individuals who engage in the unauthorized practice of law are not eligible for membership. ASISTA retains the right to cancel a membership in its sole discretion at any time.

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P.O. Box 12
Suffield, CT 06078
860-758-0733
questions@asistahelp.org

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