Welcome to IANL
Please fill and submit this form and then pay your membership dues to become IANL member. If you have any questions, please contact
Full Name (Last Name, First Name Middle Name)
Example: Jain, Jay A
Spouse's Full Name
Address, City Sate ZIP
List all phone numbers. Example: 123-456-7890 (cell), 345-678-1234(Home)
Family $20 per year (Includes Spouse and Children)
Individual $10 per year
Patron $250 (includes lifetime family membership)
Lifetime Family/Single $100
Children Info (Name, age and special talents One child per line)
Example; Jay Jain, 12Yrs, Like sports, singer
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