Step One  Step Two Step Three: Confirmation

Fill Out Your Application | Service Organization

Please fill out the following form if you are interested in becoming a member of the Food and Drug Law Institute. All fields are required unless otherwise indicated.

Questions?

[email protected]
202-222-0910
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Step 1 of 2

Organization/Company Information

Organization Address

Primary Contact

Primary Contact is typically a partner or a senior-level individual, and is FDLI’s first point of contact for substantive or programmatic issues and will be copied on emails regarding their organization/company. This individual receives their organization/company’s complimentary Food and Drug Law Journal subscription, though there is an option for it to be sent to an alternative colleague.
Name
Primary Contact Address
Select "Same as organization's address" or "Add address"

Primary Contact's Assistant

Assistant's Name