1.

2.

Name:

Home Address:

City:

State:

Zip:

3.

4.

Firm/Business Name:

Business Address:

City:

State:

Zip:

5.

Office Phone:

Home Phone:

Fax Phone:

6.

Gender:   Female  Male       BirthDate:   Mo.  Yr.

7.

Email Address:

8.

California State Bar Number:

9.

 Mo.  Yr.

 Mo.  Yr.

Date first admitted to practice:

Date admitted in California: 

10. 

Other states in which you are admitted to practice:

11. 

Indicate primary areas of law you practice:

12. 

Check the appropriate box:

 Gov./Public Service Employee

 Judge

 Faculty Member or Dean

 Law Student

(name agency/school checked)

13. 

14. 

15.

 Section Membership

The Association sections offer members an opportunity to actively participate in their fields of practice. Membership in one or more of the sections entitles you to be appointed to section sub-committees, to receive section meeting notices and publications, and to participate in various CLE programs and social activities. Please check the box(es) next to the section(s) you wish to join. Only County Bar members may participate in sections.

Section dues are based on calendar year and cannot be pro-rated.

**For Corporate Law Departments Section: Membership restricted to attorneys employed on a full-time basis by a corporation. (Enter corporation name in box below.)

Corporation:

16.

 2008 Half-Year Membership Dues Schedule

Please choose the appropriate dues category from the list below.

17.

Check here if you do not want your name included in the
sale of the County Bar's member list

18. Additional Products

Choose the purchase button below to purchase your membership. Your totals will appear on the next screen.

19. Other Information

Los Angeles County Bar Foundation: Raises and distributes needed funds to improve the administration of justice, enhance public confidence in the legal profession, cultivate understanding of and respect for the rule of law, and provide support for law-related services.

Association dues are not tax deductible as a charitable contribution for federal income tax purposes but may be tax deductible under other provisions of the Internal Revenue Code. The Association estimates that 4% of your 2008 dues is nondeductible because it is allocable to lobbying. Contributions to the Foundation may be deductible as charitable contributions.

Publication Dues Allocations: Association dues and the following section dues include these subscription allocations: Los Angeles Lawyer, $14.00; County Bar Update, $10.00.

If you have questions concerning your dues amount, please call the Member Service Department (213) 896-6560 or Call us toll-free at 1-800-456-0416