Franklin County Bar Association Membership Form

Please use this form to complete your application.

First Name:*

Last Name:*

Address:

City:

State:

Zip:

Telephone:

Cell:

Email:

BBO Number:

Date Admitted to MA Bar:

Other State or Federal Bar Admissions:

Legal Practice Areas:

Law Firm:

Website Referrals ''Find an Attorney'' Listing:*

Yes No

Please Include with Website Listing: (Brief Bio)

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Please Exclude from Website Listing::

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To include an attoreny photo or firm logo on the website "Find an Attorney" listing, please email an image to fcbar@franklincountybar.org.

Annual Dues:*

Sustaining Membership** $155 Basic Membership $130 In Practice Less than 5 years $95 Law Student / First Year Attorneys $28 Judge / Retired Attorney (Donation option below.)

Judges/Retirees Donation:

Please enter amount

**Sustaining Membership: The Executive Committee encourages lawyers to elect this dues option as a special means of demonstrating their support of the FCBA and it's programs. As a Sustaining Member, the attorney’s name will appear monthly in the FCBA newsletter, The Franklin County Lawyer and will be featured prominently on the FCBA website. If all attorneys at a firm become Sustaining Members, the firm’s name will also be listed on the website and in the newsletter.

*A small fee has been added to each membership level when paying online due to PayPal fees.

Community Fund Donation:

$25 $50 $100 Other:

Other Amount:

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Please tell me more about:

Joining a Bar Association Committee Receiving Referrals from the Domestic Violence Grant Receiving Referrals from the Elder Grant Receiving Referrals from the Children's Grant

Your Tuesday Color*

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