Membership Application Form for EBGBA

Earl B. Gilliam Bar Association Non-Student Membership Application

To apply for membership please complete all questions. EBGBA reserves the sole discretion to deny or cancel anymembership and refund unearned membership dues. Any denial or cancellation of a membership shall relieve EBGBA of any and all obligations to provide membership services to said individual or company.
Name*

First NameLast Name
E-mail*
COMPANY
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website
Phone Number*
MEMBERSHIP LEVELS*

Life Membership - Must be an Attorney ($1,000)Sustaining Life Membership if already Life Member ($250 annually)Life Membership Installment (Four payments of $250 in the calendar year)Judge/Elected Official ($150)Attorney (CA Bar member > 5 years) ($85)Attorney (CA Bar member 1-5 years) ($50)Associate (admitted in another state) ($50)Paralegal ($40)Affiliate ($40)
By submitting this membership application, I affirm I wholeheartedly agree with the mission and cause of EBGBA. **Dues or contributions made to EBGBA are not tax-deductible.**
Earl B. Gilliam Bar Association is a 501(c)(6) nonprofit organization whose mission is to advance the political, economic, educational, social, legislative and legal interests of the Black community in San Diego County.
My Products

prevnext( X )
USDDescription

loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty:

Earl B. Gilliam Bar Association Non-Student Membership Application