Membership Form - The Judicial Council Of The Washington Bar Association printable pdf download

Membership Form - The Judicial Council Of The Washington Bar Association

THE JUDICIAL COUNCIL OF THE WASHINGTON BAR ASSOCIATION

FORM

MEMBERSHIP

Please provide the following information for inclusion in the 2016 Judicial Council

Membership Directory.

Please Print:

Judicial Title:________________________________________________________

Full Name: _________________________________________________________

Business Address:

(including the formal name of your court or

)_________________

agency

___________________________________________________________________

Mobile Number:

____________________________________________

(optional)

Work Number: ______________________________________________________

Fax Number: _______________________________________________________

Work Email Address

: _________________________________________________________

Are you current in your dues? Yes ___________No ___________Not Sure________

Please check this box if you are a lifetime member of the Washington Bar Association. If you

are a lifetime member, then your annual membership dues for the Judicial Council are $25.00.

If you are not current in your dues, then you may pay your dues by attaching one check in the

amount of $100.00 to this form. Please make your check payable to: Washington Bar

Association.

Please Note: The dues period for the Washington Bar Association and the Judicial Council is

from January 1, 2016 to December 31, 2016. Your payment of $100.00 will cover $75.00 for

Washington Bar Association dues and $25.00 for Judicial Council dues. You must pay the full

amount of $100.00 to be a member of the Judicial Council.

Membership Form - The Judicial Council Of The Washington Bar Association