New York City Bar Virtual Law Firm

Required Fields are in blue.

Application Information

Name:

NYC Bar Member Number:

VLF Number (if renewing member):

Law Firm Name:

Street Address:

City: State: Zip:

Telephone:: E-mail Address:

No. of Firm Attorneys Using VLF Service: 1 Attorney 2 Attorneys 3-5 Attorneys

Available Services

Address Service (Required) - $825 annually OR $75 per month
(Payment of the full year includes 1 month discount)

Phone Number - an additional $840 annually OR $70 per month

Patching Service - an additional $60 annually or $5 per month

Choose Services Desired:

	Address service
	Address service + Phone service
	Address service + Phone service + Patch Service

Would you prefer an annual contract or monthly payments?

	I would like to pay for the full year now
	I would like to be charged monthly

Payment Information:

Total to be charged to my credit card:$

Credit Card Number (no spaces, no dashes):

Credit Card Type:

Visa		MasterCard		American Express

Card Expiration Date:
[mm/yyyy] Security Code:

By becoming a member of the Virtual Law Firm Program, you are agreeing to an initial one year commitment in the Virtual Law Firm Program and that we will accept service of process and registered/certified mail and sign for it on your law firm's behalf. If you do not want us to do so, you must instruct us in writing by sending a letter to Samantha Brachman (SBrachman@nycbar.org) stating that you instruct us NOT TO ACCEPT PROCESS SERVICE on your law firm's behalf. The Phone Service is being provided through Your30WallStreetOffice.