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Santa Barbara Lawyer - Santa Barbara County Bar Association

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2010 Membership Application<br />

Member Name: ______________________________________________________________________________________<br />

Check here if you do not want your name and office address disclosed to any buyer of <strong>Bar</strong> Assoc. mailing labels.<br />

Check here if membership information is the same as last year. If so, the rest of the form may be left blank.<br />

Office Address: ______________________________________________________________________________________<br />

____________________________________________________________________________________________________<br />

City: _____________________________________________________ State: ______________ Zip: _____________<br />

E-mail Address:_______________________________________________________________________________________<br />

Phone Number: ____________________________________________ Fax Number: ___________________________<br />

Home Address:_______________________________________________________________________________________<br />

City: _____________________________________________________ State: ______________ Zip: _____________<br />

State <strong>Bar</strong>#: ________________________________________________ Year Admitted to <strong>Bar</strong>: ____________________<br />

Your member dues include a subscription to <strong>Santa</strong> <strong><strong>Bar</strong>bara</strong> <strong>Lawyer</strong>.<br />

SCHEDULE OF DUES FOR 2010<br />

Active Members $130<br />

Student Members $30<br />

New Admittees (First Year Attorneys Only) $00<br />

Affiliate Members (non-Attorney members only) $65<br />

<strong>Santa</strong> <strong><strong>Bar</strong>bara</strong> <strong>County</strong> <strong>Bar</strong> Foundation donation $_______.__<br />

Total amount enclosed $_______.__<br />

AREAS OF INTEREST OR PRACTICE (check box as applicable)<br />

ADR Family Law<br />

Civil Litig. In-House Counsel & Corporate Law<br />

Debtor/Creditor Intellectual Property/Tech. Business<br />

Elder Law Real Property/Land Use<br />

Employment Law Taxation<br />

Estate Planning/Probate<br />

Mail completed form along with check to:<br />

<strong>Santa</strong> <strong><strong>Bar</strong>bara</strong> <strong>County</strong> <strong>Bar</strong> <strong>Association</strong>, 123 W. Padre St., #E, <strong>Santa</strong> <strong><strong>Bar</strong>bara</strong>, CA 93105 Tel: (805) 569-5511<br />

Donations to the <strong>Santa</strong> <strong><strong>Bar</strong>bara</strong> <strong>County</strong> <strong>Bar</strong> Foundation are tax deductible to the full extent provided by law<br />

to a 501(c)(3) non-profit organization.<br />

February 2010 27

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