Attorney Application

Collaborative Attorney

APPLICATION FOR MEMBERSHIP
NAME*
NAME OF FIRM
ADDRESS
OFFICE PHONE NUMBER*
CELL PHONE NUMBER*
FAX
WEBSITE ADDRESS
EMAIL ADDRESS*
example@example.com
DATE ADMITTED TO FLORIDA BAR*
FLORIDA BAR #*
PERCENTAGE OF PRACTICE IN FAMILY LAW
YEARS OF PRACTICE IN SPECIALTY
CERTIFICATIONS
ARE YOU A CERTIFIED FAMILY MEDIATOR
ORIGINAL YEAR OF CERTIFICATION
REASON FOR JOINING*
THREE REFERENCES - Please provide name, email address and daytime telephone number. Please include (2) two references of whom are members of CFLI and (1) one of whom is practicing in your field.*
Our dues are $350.00 for Attorneys and they are due on January 1st of each year. The dues for the first year will be prorated. All approved applicants will be required to participate in a Collaborative training within 90 days of approval of membership. If you are approved for membership you agree to comply with the CFLI's By-Laws, attend all CFLI general meetings (unless excused), meet all continuing education training requirements and remain current in payment of dues.

Once complete please submit application fee of $25.00 through the payment portal on our website.

If paying via check pelase send to:

Mr. Philip Herzberg, CFP®, CDFA®
2375 NE 213th Terrace
Miami, FL 33180

If you have any questions, please contact:

Tricia Cassel, CFLI Membership Chair at drcassel@triciacassel.com

CFLI Rules and Regulations are available online at www.collaborativefamlaw.com

I HAVE READ THE CFLI MEMBERSHIP RULES AND REGULATIONS:
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Collaborative Attorney