Judge Charles A. Pratt Bar Association
Membership Application
Please Select One:
New Membership
Membership Renewal
Name
First Name
Last Name
Email address
example@example.com
P-Number (If Applicable
Title
Employer/Firm/Organization/Public Office
Address (Renewal Applicants: Please update any new information only)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Renewal Applicants: Please update new information only)
Please enter a valid phone number.
New Applicants only
Law School
Year of Graduation
Bar Admission(s):
State & Year of Admission
Undergraduate School
I will abide by the bylaws of the Judge Charles A. Pratt Bar Association
Membership Dues
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next
( X )
Full Membership
$
50.00
Law School Graduate Member
$
35.00
Law Student Member
$
15.00
Paralegal/Legal Assistant/Legal Support Member
$
15.00
Supporting Member
$
10.00
Undergraduate Student
$
Free
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