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How many years have you been practicing law?

How much of your practice is made up of criminal defense?

How much of your practice is made up of OWI (operating while intoxicated) or OWPD (operating with presence of drugs)?*

How many OWI/OWPD trials have you held?*

How many of those were jury trials?*

Are you currently eligible and in good standing to practice law in Michigan?** Yes No
If “no”, please explain:

Has your license to practice law in Michigan ever been suspended for any period of time or been placed on probationary status for any period of time?* Yes No
If “no”, please explain:

Check this box to agree to the Annual Membership Dues $365.00

Please indicate your method of payment by checking one of the options below: Check Money Order Pay Pal

If paying by credit card, please use our online checkout system through PayPal or email our Executive Director, Jennifer Hinze at jenn.miaowia@gmail.com for further assistance. We will provide you with a link to our online payment system as soon as you submit your application.

By signing this membership application below, I am certifying the above information is accurate, truthful and complete. (Please Type Full Name below).*

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