SURVEY OF USMS LAWYER - Delegates

Name: ________________________________________

Address: ________________________________________

      ________________________________________

E-mail Address: ___________________________________

Phone H: _________________ W: __________________

Fax: _________________

Preferred Method of Communication: __________________

Best Time To Reach: _____________________________

Bar Admissions: ___________________________________

Areas of Legal Expertise (circle all that apply):

Contracts (Drafting, negotiation litigation)

Corporate     Copyright     Employment     Insurance

Intellectual Property     Licensing     Agreements     Litigation     Torts     ADA

Other: _____________________________________________

_____________________________________________

Type of Legal Practice: _____________________________

Return Survey by mail to:

Jeanne Crouse, Esq.
600 Marcia Lane
Rockville, MD 20851

Or fax to: 301-762-7458

Or e-mail to: legalcounsel@usms.org

Sponsor #20Sponsor #57Sponsor #36Sponsor #41Sponsor #14
Sponsor #56Sponsor #58Sponsor #51Sponsor #29Sponsor #25
Sponsor #52Sponsor #55Sponsor #13Sponsor #49Sponsor #43Sponsor #59Sponsor #42