Please complete the application form below, you will then be directed to PayPal to submit payment. Please do not complete the application in ALL CAPS.
Salutation: Ms.Mrs.Mr.Dr.
First Name:
Last Name:
Name of Employer / Law Office:
Business/Local Street Address:
City:
State:
Zip Code:
Business/Personal Phone Number:
Permanent Address:
Primary E-mail Address:
Secondary E-mail Address:
Website:
Undergraduate School:
Undergraduate Affiliations (Students):
Law School:
Graduation Year / Anticipated Graduation Year:
MA Bar Admission Date / Anticipated Bar Admission Date:
Other Bar Memberships / Anticipated Other Bar Admissions:
Practice Area or Interest:
Industry Expertise:
Include in Directory: —Please choose an option—YesNo
Interested in Committee Participation: —Please choose an option—YesNo
Committees Interested In:
Interested in Mentoring Program?: —Please choose an option—YesNo
Membership Type: —Please choose an option—Judiciary: HonoraryStudents: FreeAcademia, Government or Legal Service: $50Practicing less than 5 years: $75Practicing more than 5 years: $150Lifetime member: $1500
Δ
