CHESTERFIELD COUNTY BAR ASSOCIATION
APPLICATION FOR MEMBERSHIP
|
|
| Name: ____________________________________________ |
| Home Address: ____________________________________________ |
| County/City: ____________________________________________ |
| Business Address: ____________________________________________ |
| County/City: ____________________________________________ |
| Home Phone: _________________ |
| Business Phone: _________________ |
| Fax: _________________ |
| Email:
_________________ |
| Membership In Other Bar Associations: |
| _____________________________________________________ |
| _____________________________________________________ |
| I
HAVE READ THE CANONS OF ETHICS AND THE BYLAWS OF THE ASSOCIATION AND WILL CONFORM TO THEIR PROVISIONS AS LONG AS I REMAIN A MEMBER. |
| Signature of Applicant: _____________________________________ |
| Date: _______________________ |
| Recommendation of Membership Committee: |
| Chairman: ____________________________ |
| Date: _______________________ |
| Enclosed: |
| $10.00 Admission Fee |
| $65.00 Dues for current fiscal year (July 1 through June 30) |
|
$75.00 Total Due |
| Please
make checks payable to Chesterfield County Bar Association and mail to R. Craig Hopson, 5601 Ironbridge Parkway, Suite 102, Chester, VA 23831-7771. |