Palm Beach County Bar Association

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Fill out this application to join the Palm Beach County Bar and its Sections (In order to join the Young Lawyers or North County Sections, you must be a member of the Palm Beach County Bar.)
Title:	Mr., Mrs., Ms.
First Name:
M.I.
Last Name:
Nickname:
Florida Bar Attorney Number:
Year of Admission to Florida Bar:
Please enter up to five areas that you practice in:

Present Practice:	Sole Practioner Partner Associate Associated with...
Firm/Office Name:
Business Address:
Address2:
City:
State:
Zip:
Business Phone:
Fax:
Be sure to complete the below form to receive weekly eNewsletter reminders of upcoming events and seminars.
Email:
Website Address:
Law Degree Received From:
What Year?
Other Jurisdictions/States in which admitted to Practice:

Have you ever been the subject of disciplinary action by the Court or organized Bar authority?
	Yes, No
If yes, please describe the circumstances:

List any languages that you are fluent:

Date and Place of Birth:
Would you be interested in our Mentor Program?
	Yes No Major Area of Practice:
Annual Dues Regular Membership for First Time Ever Members $100.00 Regular Membership for Returning Members $125.00 Affiliate Membership (attorneys from other states in good standing) $75.00 Government Membership (only for members of The Florida Bar for 5 years or less) $75.00 Young Lawyers (optional) + $25.00 North County (optional) + $25.00
Please Select A Payment Method:
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Card Number:
Exp. Date:	Check all that apply: Bar Dues YLS Dues NCS Dues
Name on Card:
The Bar's fiscal year is July 1 through June 30 and dues are not prorated. If you wish to join the Young Lawyers Section, please add $20; the NORTH COUNTY SECTION add an additional $20. Please note that new members are approved by the Board of Directors at its monthly meeting, after which you will receive a packet of materials for new members.** PLEASE BE SURE TO SEND A PHOTOGRAPH VIA REGULAR MAIL FOR USE IN THE BAR BULLETIN AND OUR PICTORIAL DIRECTORY. *** PLEASE NOTE: Payment of dues does not constitute a charitable contribution for federal income tax purposes. However, such payment may be deducted as a business expense.

Amount to be Charged:	Check here if you are renewing your current dues
	*Please type the red letters/numbers in the box above.
	I have read and agreed to all the above information and I authorize the Palm Beach County Bar Association to process this charge on the credit card identified above.

Calendar of Events

Address Change Form

Continuing Legal Education

Dues Renewal Form

Members Only Site

Membership Application