membership form Name * First Name Last Name Email * Office Name * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Practice Area Phone Are you a past or current member? * Yes No Membership Type * Annual Membership - $50 (January 1 – December 31st) Student Annual Membership - FREE (January 1 – December 31st) 6 Month Membership - $25 (June 1 – December 31st) Are you interested in presenting at an upcoming luncheon? Yes No Thank you!