Contact

Eddie Visco, MAPLA At-Large Board Member, Membership
Midwest Association of Pre-Law Advisors
(517) 629-0328
membership@mapla.org

MAPLA Membership 2023-2024

Please complete this form to join or renew membership in the Midwest Association of Pre-Law Advisors from now through August 31, 2024. Note: It is not necessary to complete this form if you registered for the 2023 MAPLA Conference. Your membership will already be extended to 8/31/24.

* Required information

Personal Information

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
Please tell us how you heard about MAPLA.

Fee

Type	Fee
Pre-Law Advisor	$40.00
Law School Representative--Single (1 member)	$60.00
Law School Institutional Membership (2 members)	$100.00
Law School Institutional Membership (3-5 members)	$150.00

Business Information

Institution
Job Title:
Address 1:
Address 2:
Address 3:
City:
State:
ZIP Code:
Phone:

Additional Law School Members

Second Institutional Member
Name
Title
Email Address
Third Institutional Member
Name
Title
Email Address

Additional Law School Members

Fourth Institutional Member
Name
Title
Email Address
Fifth Institutional Member
Name
Title
Email Address

Payment

Payment Method

Pay with Credit Card
Pay with PayPal
Pay By Check
Please make check payable to:
Midwest Association of Pre-Law Advisors
Don Racheter
2741 N Salisbury St
West Lafayette, IN 47906

Payment Summary

Mobile View

Desktop View