Georgia Association of Black Women Attorneys

Untitled Document

ONLINE MEMBERSHIP FORM

1. Choose your membership option:

Regular - $75 Dues for Jan 2008 - Dec 2008	Associate - $60 (Non-lawyers only) Dues for Jan 2008 - Dec 2008	Student - $30.00 Annually Dues for Sep 2007 - Aug 2008
Amount to pay: $

2. Enter your biographical and contact info:

First Name:	MI	Last Name:
Street Address:		City:
State:	Zip:	Email:
Home Phone:	( ) -	Work Phone:	( ) -
Employer/Office Environment:
Law School:		Graduation Year:

3. Areas of Practice (Please select up to three practice codes): Code Code Code

01 - Administrative Law
02 - Admiralty
03 - Adoption
04 - Alternative Dispute Resolution
05 - Attorney Placement
06 - Bankruptcy
07 - Business and Finance
08 - Civil Rights
09 - Community Associations
10 - Construction
11 - Corporate/In-House Counsel
12 - Criminal Defense
13 - Criminal Prosecution
14 - Education
15 - Entertainment
16 - Environmental and Toxic Tort
17 - Estate Planning and Probate
18 - Family
19 - General Law
20 - Government Agency
21 - Health Care
22 - Hospitality
23 - Immigration
24 - International
25 - Intellectual Property
26 - Judiciary (Judges Only)
27 - Judicial Clerk
28 - Juvenile Advocacy

29 - Labor and Employment
30 - Liability Insurance
31 - Litigation (Accounting Malpractice)
32 - Litigation (Appellate)
33 - Litigation (Business)
34 - Litigation (General)
35 - Litigation (Insurance Defense)
36 - Litigation (Medical Malpractice)
37 - Litigation (Personal Injury)
38 - Litigation (Plaintiff's Representation)
39 - Litigation (Securities)
40 - Media Law
41 - Military/Veterans
42 - Municipal Law
43 - Product Liability (Defense)
44 - Product Liability (Plaintiff)
45 - Public Interest/Poverty Law
46 - Public Housing
47 - Real Estate (Commercial)
48 - Real Estate (Residential)
49 - Social Security
50 - State Bar
51 - State Licensing
52 - Student
53 - Taxation
54 - Technology
55 - Worker's Compensation
56 - Zoning &mp; Land Use

4. Areas of Interest (Please choose areas in which you would like to participate):

Archive Restoration	Sister to Sister Mentoring	Legal Education	Newsletter
Community Service	Inter-Bar Relations	Legally Speaking	Political Action
Fundraising	Judicial Review	Membership	Student Programs
Technology

5. I would like to serve on the following GABWA Foundation committee(s):

Civil Pro Bono

Foundation Board

Scholarship

Sister to Sister Mentoring

6. I cannot work on a project but I would like to support GABWA by:

Plan a meeting	Providing my home for an event	Providing refreshments for a meeting
Writing an article for the newsletter	Providing a donation of

7. If someone encouraged you to join GABWA this year please specify their name below:

Referred By:

8. Click PayPal button below to complete your secure payment.