2011 Membership Form


* Required
*First Name:
MI:
*Last Name:
*Email:
*Business Phone:
Business Fax
Cell Phone:
*Firm/Company/Organization:
*Business Address:
*City:
*State:
*Zip:
Title:
*Bar #:
Areas of Practice (check all that apply)
Admiralty
Alphabetical Listing
Animal Law
Appellate
Appellate Litigation
Asset Protection
Attorney Ethics & Grievance Defense
Aviation
Banking Law
Bankruptcy
Business Law
Charitable and Non-Profit
Collections
Commercial Transactions
Compliance
Construction
Consumer
Contracts
Corporate Finance
Corporate Law
Criminal Law
Dispute Resolution
District Attorney
Elder Law
Employment/Labor Law
Energy Law
Environmental
ERISA
Estate Planning
Executive Compensation
Expert Witness Support
Family Law
Health Care
Immigration
In-House Counsel/Corporate Counsel
Insurance Law
Intellectual Property (IP)
International Law
Judge
Juvenile
Litigation (Commercial)
Litigation (Construction)
Litigation (General Civil)
Mediation/Arbitration
Medicaid
Medical Malpractice
Mergers & Acquisitions
Oil & Gas
Patent/Trademark
Personal Injury
Probate
Products Liability
Real Estate
Regulatory Law
Securities
Subrogation
Tax
Transactional Law
Membership Dues-$50 (No pro rations.) Membership Year-January 1 to December 31
(Join in Nov. or Dec. and have membership benefits for the remainder of that year plus the following year.)
Please CHECK any information listed below which you do NOT wish to have published on the WBA website:
Name
Email Address
Firm/Company/Organization
Business Address
Business Phone #
Fax #
Cell Phone #
Areas of Practice
Would you be willing to serve on the Board?
Yes
No
Would you be willing to serve on a Committee? If so, check one or more of the following:
CLE
Social
Public Relations
Community Affairs
Membership
Scholarship
Certification: "By entering my name and clicking the submit button below, I certify that I am duly licensed (whether on active or inactive status) in Texas or another U.S. jurisdiction and that I am in good standing with the authorities who govern or regulate the practice of law in the jurisdictions in which I am licensed, or I am currently serving as a judge or legislator within the State of Texas."
*Name *Date