Metropolitan Black Bar Association
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Membership Application
(* Required Field)

Membership Levels
  • Students................................. $ 10.00
  • Less than 1 year.................... $ 20.00
  • 1 to 5 years............................. $ 35.00
  • 6 to 10 years........................... $ 75.00
  • 11 to 15 years........................ $100.00
  • 16 and over............................ $150.00
  • Judges.................................... $150.00
  • Non-Resident......................... $ 50.00
  • Non-Lawyer Supporter ........ $ 25.00
  • Sustaining Membership...... $300.00
  • Lifetime Membership.......... $1500.00

* First Name  
Middle/Maiden Name
* Last Name  
* Primary E-mail Address   
* Primary Phone Number (format 000-000-0000)   
Mailing Address
*    Street  
   Apt/Ste  
*    City/State/Zip    
 
* Membership Type
 
   Referred By

   
 
   


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