Mississippi Volunteer Lawyers Project
Panel Membership Application

I volunteer to provide free legal services to indigent Mississippians. I agree to accept three cases per year. I am WILLING to accept referrals in the following areas checked:

FAMILY LAW	Landlord/Tenant
Battered Spouse/Children	Taxes
Divorce	Personal Property Rights
Guardianship of Minors	Property Damage
Custody/Visitation	Wills
Modifications	Conservatorship
Adoptions	ADMINISTRATIVE
Contempts	Unemployment
CONSUMER	Veterans
Bankruptcy (7's only)	OTHER OPPORTUNITIES
Debt Collection	Legal Clinic (Jackson)
Contracts	Legal Problems of the Elderly
Consumer Credit	Mentor Panel
GENERAL	Conflicts Panel
Accident Defense	Resource Development
Birth Certificate Corrections	CLE Faculty
Deeds	Other:

Name

Firm Name

Address

City

State/Province

Zip/Postal Code

Phone

FAX

I am unable to participate at this time, however I am printing this form and mailing my tax deductible contribution of to the address below:

Mississippi Volunteer Lawyers Project
P.O. Box 2168
Jackson, MS 39225-2168

Mississippi Volunteer Lawers Project

Name
Firm Name
Address
City
State/Province
Zip/Postal Code
Phone
FAX

Mississippi Volunteer Lawyers ProjectPanel Membership Application

Copyright © 2001 Mississippi Volunteer Lawyers Project. All rights reserved. Revised: July 01, 2004

Mississippi Volunteer Lawyers Project
Panel Membership Application

Copyright © 2001 Mississippi Volunteer Lawyers Project. All rights reserved.
Revised: July 01, 2004