To apply for membership print out the following form and mail to the address below.
Make sure to double-check your answers.
* Required Field
| *Last Name: |
______________________ |
| *First Name: |
______________________ |
| Phone Number: |
______________________ |
| *Mailing Address: |
______________________
______________________ |
| Email Address: |
______________________ |
| WebPage: |
______________________ |
| *Date of Birth: |
______________________ |
| *Law School Graduated From: |
______________________ |
| *Date of Graduation: |
______________________ |
| *Date Admitted to WI Bar: |
______________________ |
| *Practice East or West of I-94: |
______________________ |
| Local Bar Offices Held and Dates: |
______________________
______________________
______________________ |
| State Bar Offices Held and Dates: |
______________________
______________________
______________________ |
You may enter up to five specialty/practice areas listed on the information page. For examples
please see our category list. |
| Specialty 1: |
______________________ |
| Specialty 2: |
______________________ |
| Specialty 3: |
______________________ |
| Specialty 4: |
______________________ |
| Specialty 5: |
______________________ |
You can determine your dues payment here!
Please submit payment and this form to the following address:
Racine County Bar Association
ATTN: Bernard J. Powers, Treasurer
P.O. Box 1313
Racine, WI 53401-1313
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