The Indianapolis Bar Association is pleased you are interested in participating in the Criminal Modest Means Project.

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* 1. Name (First Name, Middle Initial, Last Name, Suffix)

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* 2. Indiana Attorney Number (Please include the dash and numbers after the dash. Example: #####-##)

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* 3. I am willing to accept the following Criminal Modest Means case types. Please select all that apply.

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* 4. I am willing to accept up to x number of criminal modest means cases per month:

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* 5. I have read and agree to abide by the Criminal Modest Means Project Rules & Regulations.

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