Paul C. Perkins Bar Association Membership Application 2021-2022
Membership Application for June 1, 2021 through May 31, 2022
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Email *
Last Name *
First Name *
Florida Bar Number
Attorneys Only
Bar Admission Date
Employer Name
Current Position/Title
Employer Mailing Address
Telephone Number
Undergraduate School
Law School
Area(s) of Practice
Board Certifications
PLEASE CHECK ONE *
Required
ANNUAL DUES  - Type of Membership *
PCPBA's membership year runs from June 1st to May 31st each year. PCPBA accepts membership applications on a rolling basis throughout the year, but membership dues are not prorated.
Required
I would like to be a member of the following committee(s):
"We Make a Living by What We Get - We Make a Life by What We Give." (Select any and all that apply)
PAYMENT TYPE *
If paying by check or cash, please make the check payable to Paul C. Perkins Bar Association and mail to: Paul C. Perkins Bar Association, P.O. Box 1927, Orlando, Florida 32802.
Required
A copy of your responses will be emailed to the address you provided.
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