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

Year Admitted to the Bar

Legal Practice Areas

Associated with the Law Firm:

Annual Dues*

Sustaining Membership $155 Basic Membership $127 In Practice Less than 5 years $93 Law Student / First Year Attorneys $27 Covid Hardship- Sustaining Membership $117 Covid Hardship- Basic Membership $93 Covid Hardship -In Practice Less than 5 years $67 Covid Hardship - Law Student / First Year Attorneys $12 Judge / Retired Attorney (Donation option below.)

*Sustaining Membership: The Executive Committee encourages lawyers to elect this dues option as a special means of demonstrating their support of the FCBA and its 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.

Community Fund Donation

$25 $50 $100 Other:

Other Amount

Please enter amount

Lawyer Referral Service

Fee $42

(Please also submit a Lawyer Referral Service Application.)

Judges/Retirees Donation

Please enter amount

Please tell me more about:

Joining a Bar Association Committee Receiving Referrals from the Lawyer Referral Service 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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