CIPLA Membership Application

Application may be made using the online form below, or by downloading, completing, and mailing the application form.

DOWNLOAD AN APPLICATION FORM

Apply Using the Online Form Below

To the Membership Committee of the Connecticut Intellectual Property Law Association:

I hereby make application for membership in the Connecticut Intellectual Property Law Association. If elected, I agree to abide by the Constitution and By-Laws of the Association.

Member of the bar of:*
Patent Office Registration No.*
Full Name*
First Last
Residence*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Telephone
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Telephone
Fax
Send mail to:
- Residence
- Business
Email
College
Class
Degree
Law School
Class
Class
Additional Information
Sponsor #1 (CIPLA Member)
Sponsor #2 (CIPLA Member)
Name
This field is for validation purposes and should be left unchanged.

CIPLA Membership Application

DOWNLOAD AN APPLICATION FORM

Apply Using the Online Form Below

Our Next Event

CIPLA Judges’ Dinner, May 11, 2017

To Attend an Event …

Make an Application

Renew Your Membership

Contact Us

Links

Get CIPLA Updates