Title

Last Name First Name Initial

MEMBERSHIP APPLICATION: January 1, 2015 - December 31, 2015

City State Zip Code

Area Code

Area Code

Area Code

General Number

Direct Dial

Cell Phone Number

E-Mail Address (print clearly)

Fax Number

National Association of Bond Lawyers PHONE (202) 503-3300 601 Thirteenth Street, N.W. FAX (202) 637-0217 Suite 800 South www.nabl.org Washington, DC 20005-3875

2. I state in connection with this application for membership that a portion of my law practice (a) deals with obligations issued by or on behalf of a state, territory, or possession of the United States or a political subdivision thereof or the District of Columbia, and (b) includes the rendering of a legal opinion or opinions in connection with the delivery of such obligations.

No (Associate Member only)Yes

3. Status of membership applied for:

Regular Member

Associate Member (lawyer/non-lawyer not rendering opinions)

4. Date first admitted to practice law:

(Month) (Year)

B. CLE Matters

Is CLE required in the state(s) in 1.(a)

If so, provide bar or registration number(s):

C. Employment/Practice Setting. Please check box(es) that describe your employment/practice setting:

Private Law Firm

Other Employment SettingFirm Size

PRIMARY ADDRESS:

Law Firm Name or other affiliate

Mailing Address

Male

DEMOGRAPHICS (optional): In an effort to better understand the composition of our membership, NABL requests your responses to the following questions:

Female

I am not a lawyer.

the U.S. Territory or Possession of and I am not at present under suspension or otherwise subject to any disciplinary sanction.

the District of Columbia

the State(s) of

1. (a). I state in connection with this application for membership that I am an attorney in good standing duly admitted to practice law in (check/complete one or more): and am eligible to practice before IRS and the SEC.

A. Membership Status-Please complete the following items and sign form

Gender

Race

American Indian or Alaska Native

Asian

Black or African American

Caucasian

Hispanic or Latino

Other

Employer Status: Is your law firm/company/employer a minority or woman-owned business?

NoYes

E. Practice Expertise NABL is interested in identifying individuals with expertise in certain areas for purposes of NABL's educational and other activities. Please check as many items as are applicable with respect to your areas of expertise:arbitrage (010)

bankruptcy (030)

blue sky (040)

assessment districts (020)

commercial law/banking/credit enhancement (060)

change in use/other post-issuance events

defaults and workouts (070)

disclosure (080)

enterprise zone bonds (100)

education (090)

exempt facilities (110)

federal tax - 103 (140)

general tax outside of 103 (140)

financial products/derivatives (130)

governmental obligations (150)

healthcare (160)

investment companies (180)

pooled financings (220)

leasing (190)

multi-family housing (200)

private activity bond tests (230)

qualified 501(c)(3) issues - tax issues (260)

professional responsibility issues (240)

public power (250)

rebate compliance (280)

single family housing (310)

reissuance/refundings (290)

securities law (300)

solid waste (320)

tax credits (350)

state law or public law (330)

tax enforcement (360)

student loans (340)

tax increment financings (370)

trustees counsel (390)

transportation (380)

tribal bonds (170)

other (210)

working capital (400)

F. Communication 1. Preferred form of communication from NABL:

Mail

Fax

Telephone

E-Mail

2. Check as applicable:

I do not wish to be listed in NABL's Directory.

I do not wish to list my e-mail in NABL's Directory.

I do not wish to receive e-mail from NABL.

I do not wish to receive mail from NABL.

I do not wish to receive NABLNET alerts.

G. Dues Enclosed are dues of:

$425.00, if admitted to the bar before January 1, 2012 or not admitted to the bar

$275.00, if admitted to the bar on or after January 1, 2012

$50.00, if retired**To be included in the 2015 printed membership directory, payment must be received by January 23, 2015.**

Membership in the National Association of Bond Lawyers is not based upon and does not directly or indirectly imply competence, experience, or acceptance as an attorney rendering opinions in connection with the delivery of obligations issued by or on behalf of a state, territory or possession of the United States or a political subdivision thereof or the District of Columbia.

Signed:

Date:

Check Enclosed

Charge my: AMEX DISC MC VISA

Account Number Expiration Date:

$is enclosed as my contribution to The Robert H. Hilderbrand, Jr. Fund. (The Hilderbrand Fund is the Association's 501(c)(3) organization that supports and benefits the educational activities and the Frederic L. Ballard Jr. Memorial Scholarship.)

Dues are not deductible as charitable contributions but may be as a business expense. Contributions to the Hilderbrand Fund are considered charitable contributions.

I would prefer to use the on-line directory, do not mail