Nebraska Defense Counsel Association

Membership Application


MEMBERSHIP ELIGIBILITY:

  1. Member of Nebraska State Bar
  2. Devote a major portion of your professional time to the representation of an insurance company or its insureds, a corporation, or governmental entity.


NDCA Membership billing cycle follows the calendar year (Jan-Dec)


Please note: Membership is not transferable. For more information about NDCA or to contact an officer, please visit our website: www.nebraskadefense.org

I would like to*

If you are applying as the lead account holder for a firm membership select submit a membership application.

Membership Category*

Please multiply the total number below by $130.00 to calculate your annual membership dues total.

Firm Membership Type*

You should only be completing this application if you are the Firm account representative and contact person.


The Firm Membership is $130.00 for each member.

Membership Type*

List main contact person if applying for firm membership

Please list the best email to contact you.

Street address (include suite number if applicable)

NE
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Ex: Name, Email, Bar Number


You can also email the list at executivedirector@nebraskadefense.org

Select multiple

Select or enter value
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Number of Attorneys at Firm/Organization

Write N/A if not applicable

Are you a current member of DRI, The Voice of the Defense Bar?*
How did you hear about NDCA:

If you answered other please share in the following question

Drag and drop files here or

Membership Payment & Agreement

I will be paying by*

Please indicate the total amount you will be sending by check. Please refer to the membership type you selected for total.


Please remit payment to:

Nebraska Defense Counsel Association

attn. Edwin Robles, Executive Director

222 South Riverside Plaza, Suite 1870

Chicago, IL 60606

If approved for membership do you agree to abide by the By-Laws of the Association?

Sign the below with you full name

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