HCBA MEMBERSHIP
Personal Information

Name:  
Firm:   
Street:      PO Box:
City:         State:        Zip:
Phone:                                       Fax:        
Email:  
Date Admitted to MA Bar:                       Other State:

General Membership Categories

$25.00    Law Student
$50.00    Admitted to Bar 2004-2006
$125.00  Admitted to the bar 2003 or earlier
$95.00    Government/Legal Services
                    (full time government employees or legislators/attorney in  legal services office)
$-0-        Judges/Retired Bar Member over 50 years

 Sustaining Membership

$50.00        In addition to regular membership dues for individual lawyers
$100.00      In addition to regular membership dues for firms of two or more lawyers 

Committee Interests
We invite you to become active in the Bar Association.
Please indicate which committee(s) you are interested in.

ADR Committee                                  District Court Committee  
Intellectual Property Committee            Juvenile Court Committee
Lawyer Referral Service Committee     Probate Court Committee (Including PACT/FTC)
Real Estate Committee                         Superior Court Committee

Information Sharing
Would you allow the following information to be available for other Bar Association members?

Yes    No
           Your area of expertise
           Phone Number
           Fax Number
           Mailing list made available to members for professional purposes only

Please submit this form and mail a check payable to:
HCBA
15 Gothic Street, Suite 10
Northampton, MA 01060-3084

Membership will not become active until payment is received at the HCBA Office.
Membership dues are 100% tax deductible.
Membership is valid for a period of one year, commencing September 1 and ending August 31. Membership dues are not prorated.