UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ALABAMA

Application To Continue A Member
Of Federal Bar In Good Standing

I certify that I am a member in good standing of the Alabama State Bar and that I either reside in Alabama or regularly engage in the practice of law in Alabama.

Date:                                                    Signature:                                                                                   

PLEASE PRINT OR TYPE
Mr./Mrs./Ms.        First Name/Initial                    Middle Name/Initial                      Last Name

Alabama Bar Number
Law Firm/Company Name (if any)

Mailing Address

City/State/ZIP Code

Business Telephone (Include Area Code) (Main Number, NOT Individual Phone Number)

FAX Number (Include Area Code) -- Dedicated FAX Line For Receipt Of Court Orders And Notices

Other Courts To Which Currently Admitted To Practice

Name When Initially Admitted To Practice (if different from above)

Name As It Appears On Pleadings (if different from above)

Email Address

 PLEASE INCLUDE $50.00 READMISSION FEE MADE PAYABLE TO:

                        CLERK, U.S. DISTRICT COURT
                        1729 5th Avenue, North, Room 140
                        Birmingham, AL 35203