Americans United for Equal Justice for Victims of Illegal Discrimination, Harassment, Fraud, and or Corruption NRCC ATTORNEY REGISTRATION FORM Name of Law Firm: First Name of Contact Person: Last Name of Contact Person: Street Address: City/Town: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: Contact E-Mail Address: Re-Enter E-Mail Address: Phone Number:() - Describe Your Law Firm's Areas of Practice in Not More Than 500 characters: Characters Remaining: 500