Membership Application

* Required Fields

Your Full Name *

E-mail Address *

Name of Agency *

Agency Address *

Agency Phone Number *

Agency Fax Number *

Your Title *

Current Assignment *

Preferred Mailing Address *

Preferred Contact Phone Number *

Type of Membership *:
GeneralAssociate

Areas of Criminal Law Experience *

Language Skills *

Other bar associations you are associated with, if any.

May we include your name, title, office address, current assignment, email, and office phone number and address in a membership directory? *
YESNO

Are you interested in joining any committees? *
YESNO