Online Membership Application

1. Please tell us about yourself

Last Name
First Name
Middle Name
Title
Date of Birth:
Gender:	Male Female
First Admission to Bar in U.S. (If applying for law student or foreign associate status, type N/A)
Court of Record for Admission: (required)
State/District: (required)
Original Admission to Practice Date: (required)
Please supply both your business and home addresses below and indicate which is preferred.
Business Address
Agency/Firm
Street Address
Suite No.
City
State
Zip
Daytime Phone
Fax Number
E-mail
Home Address
Street Address
Apt. #
City
State
Zip
Home phone
Fax
E-mail
My preferred mailing address is office home
Practice Information
Type of Practice:	Choose One Private Sector-Private Practice Private Sector-Corporate/In-house Public Sector-Government Public Sector-Military Public Sector-Judiciary Public Sector-Non-profit Public Sector-Association Counsel Public Sector-University/College Retired
List Practice Area(s):	MORE THAN ONE MAY BE SELECTED Administrative Admiralty/Maritime ADR/Arbitration Antitrust/Trade Bankruptcy Communications Criminal Environment/Energy Federal Litigation Financial Institutions General Counsel Government Contracts Health Immigration Indian Intellectual Property International Labor/Employment Military Social Security State/Local Government Taxation Transportation Veterans Other Other:
How many lawyers are in your office?

2. FBA Annual Dues

Active Membership-Open to any person admitted to the practice of law before a federal court or a court of record in any of the several states, commonwealths, territories, or possessions of the U.S. or in the District of Columbia, provided you are or have been an officer or employee of the U.S. or the District of Columbia, or you have a substantial interest or participate in the area of federal law.

Private Sector	Public Sector
$80 Member admitted to practice 0-5 years	$60 Member admitted to practice 0-5 years
$130 Member admitted to practice 6-10 years	$105 Member admitted to practice 6-10 years
$155 Member admitted to practice 11+ years	$120 Member admitted to practice 11+ years
$75 Retired (fully retired from practice of law)	$75 Retired (fully retired from practice of law)

$155 Foreign Associate Open to persons admitted to practice law before a court or administrative tribunal of a country other than the U.S. (Please provide proof of admission.)

*Foreign Associate - Country in which you are licensed to practice
Name of court or administrative tribunal before which you practice

$25 Law Student Associate Open to any law student currently enrolled in an accredited law school who is not currently admitted to practice law.

*Law Student Associate - Name of Law School (required)
Expected Date of Graduation (required)

$60-Optional Sustaining Membership (in addition to regular dues for support of CLE programs and publications)

3. Chapter Affiliation (Local chapter dues, if applicable, are indicated next to chapter name in parentheses.)
Choose a Chapter AL Birmingham AL Mobile AL Montgomery AL North Alabama Alaska Arkansas AZ Phoenix AZ Tucson ($10) CA Central Coast CA Inland Empire CA Los Angeles CA Northern Dist. of CA CA Orange County CA Sacramento CA San Diego CA San Joaquin Valley CO Colorado CT Hartford County DE Delaware DC Capitol Hill DC District of Columbia DC Pentagon FL Broward County FL Gainesville FL Jacksonville FL Orlando FL Palm Beach County FL South Florida FL Southwest FL FL Tallahassee ($25) FL Tampa Bay GA Atlanta ($10) HI Hawaii Idaho IL Chicago IN Indianapolis IA Iowa ($10) KY Kentucky KS At Large LA Baton Rouge LA Lafayette/Acadian LA New Orleans LA North Louisiana MD Maryland MA Massachusetts ME At Large MI Eastern District of MI MI Western District of MI MN Minnesota MS Mississippi MO Kansas City MT Montana NE At Large NV Nevada NH At Large NJ Central NJ Shore NJ New Jersey NM At Large NY Eastern Dist. of NY NY Southern Dist. of NY NC At Large ND At Large OH Cincinnati/Northern Kentucky OH Columbus OH Dayton OH Northern Dist. OH ($10) OK Oklahoma City OK Northern/Eastern OK OR Oregon PA Eastern Dist. Of PA PA Middle Dist. Of PA PA Western Dist. of PA PR Puerto Rico ($10) Rhode Island South Carolina SD At Large TN Chattanooga TN Memphis Mid-South TN Nashville TN NE Tennessee TX Austin TX Dallas ($10) TX Del Rio ($25) TX El Paso TX Fort Worth TX San Antonio TX Southern Dist. of TX ($25) TX Waco UT Utah VT At Large VA Northern VA VA Richmond VA Tidewater Virgin Islands WA At Large WV At Large WI At Large Wyoming

4. Career Divisions and Substantive Sections
Please select the name(s) of all divisions and/or sections you wish to join. Corresponding section and division dues are listed next to the names (in addition to regular dues).

N/C Federal Career Service(must be past/present employee of the federal government)

$10 Judiciary (must be past/present member or staff of a judiciary)

$10 Corporate and Association Counsels

N/C Younger Lawyers (must be age 36 or younger or admitted to practice less than 3 years)

$10 Senior Lawyers (must be age 55 or over)

$15 Alternative Dispute Resolution

$15 Antitrust and Trade Regulation

$10 Bankruptcy Law

$10 Criminal Law

$15 Environmental, Energy, and Natural Resources

$10 Federal Litigation

N/C Financial Institutions and the Economy

$20 Government Contracts

$10 Health Law

$10 Immigration Law

$15 Indian Law

$10 Intellectual Property and Communications Law

$10 International Law

$15 Labor and Employment Law

$10 Social Security

$5 State and Local Government Relations

$15 Taxation

$20 Transportation Law

$10 Veterans Law

 

5. Dues Worksheet

FBA Dues	$
Local Chapter Dues	$
Division/Section Dues	$
TOTAL AMOUNT	$

6. Payment Information

Please charge my dues to:	Choose One MasterCard Visa Diner's Club American Express Transmission of data on this site is not secure
Credit Card Number:
Expiration Date:
Authorized User's Name

By checking this box I hereby apply for membership in the Federal Bar Association and agree to conform to its Constitution and Bylaws and to the rules and regulations prescribed by its Board of Directors. I declare that the information contained herein is true and complete. I understand that any false statements made on this application will lead to rejection of my application and/or the immediate termination of my membership. I also understand that by providing my fax number and email address, I hereby consent to receive faxes and email messages sent by or on behalf of the Federal Bar Association, the Foundation of the Federal Bar Association, and the Federal Bar Building Corporation.

Note contributions and dues to the FBA may be deductible by members under provisions of the IRS Code, such as an ordinary and necessary business expense, except 3.1% which is used for congressional lobbying and is not deductible. Your FBA dues include $14 for a yearly subscription to the FBA's professional magazine.

fba@fedbar.org

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