Membership Form and Dues Statement
Fill out the following information and click "Submit."
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Mandatory Fields
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First Name:
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Last Name:
Law Firm/Company:
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Address1:
Address2:
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City:
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State:
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Zip Code:
Website:
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Email Address:
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Business Phone:
Fax:
Area(s) of Specialization:
Year of Admission:
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State Bar #:
Are you a member of the Los Angeles County Bar Association?:
Yes
No
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Please check
an appropriate option:
Member in practice less than 5 years - $25.00
Member in Practice 5 years or more - $80.00
Sustaining member - $100.00
Lifetime member - $1,000.00
Friend - $80.00
New Admittee - $0.00
Law Student - $0.00
Active Judiciary - $0.00
For New Admittee
Date of Admission:
For Law Student
Law School:
Anticipated Date of Graduation:
Enter Credit Card Information
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Name
(exactly as it appears on card):
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Credit Card Type:
Visa
Mastercard
American Express
Discover
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Credit Card Number:
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Expiration Date:
01
02
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05
06
07
08
09
10
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08
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20
(month and year)
Enter Billing Information
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Address:
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City:
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State:
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Zip Code:
Enter Text Shown Below
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