TGCF Membership Application – Texas General Counsel Forum

Membership terms are from January 1st through December 31, 2019.

Membership Type	Annual Dues
Corporate - Individual	$600
Government/ Non-profit - Individual	$300
Corporate Legal Department - GC & up to 3 senior managing counsel. Additional members may be added for $300 per person.	$1,200
Government/ Non-profit Legal Department - GC & up to 3 senior managing counsel. Additional members may be added for $225 per person.	$900
Corporate Underwriter - GC plus the member company or organization is listed in all promotional materials and the Forum website.	$1,500
Corporate Mentoring Sponsor - GC & up to 8 senior managing counsel	$2,500

Begin Your Membership*

I certify that I am a full-time General Counsel or Managing Counsel in a corporation or entity who has significant leadership and management responsibility, which includes (i) leading a major functional area (e.g. litigation, securities, intellectual property), (ii) serving as a lead attorney for a major business unit, or (iii) supervising one or more lawyers.

Yes

Join or Renew*

Chapter*

Name*

Prefix First Middle Last

Job Title*

Company*

Address*

(Address must match billing address if paying by credit card.)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is your billing address different from your company address?*

Company Address*

Please provide your company address in the box below.

Office Phone*

Cell Phone

Email*

Enter Email Confirm Email

Additional Email

Legal Department Size*

(including yourself)

Solo
Small (2-5 attorneys)
Medium (6-10 attorneys)
Large (11 or more attorneys)

Company Industry*

Other Industry*

Referred By*

Optional Information

Assistant's Name

First Last

Assistant's Phone

Assistant's Email

I am a new in-house counsel

I am new to the GC/CLO role

I would like more information about serving on the local chapter Board or key Committee

Membership Type

Membership Terms & Conditions*

Annual membership dues are effective January 1st through December 31st and are nonrefundable. This company membership will be transferred to a qualified successor in the event I leave the company, am replaced or no longer meet membership qualifications.

I agree to the Membership Terms & Conditions.

Membership Level*

Additional Legal Department Members

Legal Department memberships are valid for the general counsel and up to three qualified managing counsel. Additional managing counsel members may be added at the rates below.

Quantity*

The number of managing counsel to be added.

Forum staff will get in touch with you to get the additional names and contact information for your Legal Department or Corporate Mentoring Sponsor membership.

Okay

Total

$0.00

Payment Information

Payment Options*

Credit card
Payment will be made by ACH
Payment will be made by check
Invoice me

Credit Card*

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name