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Membership Form
Membership Form
pcba
2020-08-05T11:06:42-05:00
We also accept personal and business checks for membership dues.
Click here to print this PDF form
and return the form with the check to the PCBA office.
1
Basic Info
2
Dues & Donation
3
Directory
4
Checkout
Name
*
Mr.
Mrs.
Miss
Ms.
Hon.
Judge
Dr.
Prof.
CPT
CPT(R)
LTC
Senator
General
Other
Prefix
First
Last
Suffix
Prefix (other)
*
Email
*
Firm/Employer
*
Supreme Court #
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
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Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Phone
*
Home or Cell Phone
Important Notice
The online membership directory will be accessible to PCBA members and to the general public. Your name, work address and work phone number will be displayed on the PCBA Website under “Membership Directory.” The remaining information is for PCBA use only. If you wish to opt out of participation in the membership directory completely, you may do so on page #3.
PCBA Annual Membership Dues
Regular Member:
Any person licensed to practice before the Supreme Court of Arkansas.
Associate Member:
Any person admitted to practice before any court of final jurisdiction in any state of the United States and who is a resident of Arkansas but is not admitted to practice law in Arkansas may be granted membership and may participate fully in the activities and committee work of the Association ex rd of Directors or vote in the election of officers and directors. Associate members shall pay the same membership dues as other members and shall be eligible for the same benefits of the Association except as herein provided. Associate members use the same dues structure as regular members.
Judges Include:
District, Circuit, Juvenile Courts located in Pulaski County; Arkansas Supreme Court and Arkansas Court of Appeals and United States District Court for the Eastern District of Arkansas, Western Division.
Membership Type
*
Attorneys licensed less than one year ($25)
Attorneys licensed one year but less than five ($75)
Attorneys licensed five or more years ($100)
Life Member (70 years of age or older) ($0)
Judge ($0)
Daily Record
As a member benefit, you will receive the Tuesday edition of
The Daily Record
, in which appears the Association's newsletter to its members. If you
do not
wish to receive the Tuesday edition of
The Daily Record
, please check the box below:
Please do NOT send me The Daily Record.
Membership dues are not deductible as a charitable contribution for income tax purposes, but may be deductible as ordinary and necessary business expenses.
Contribution to Pulaski County Bar Association
PCBA Contribution Amount
Foundation Donations
If you would like to donate to the Pulaski County Bar Foundation, you will be redirected to the PCBF donation form after you have successfully submitted this form. Your contribution to the PCBF is greatly appreciated.
Would you like to donate to the PCBF?
*
Yes
No
Total
Total
$0.00
Do you want to be included in the online membership directory?
*
Yes
No
Online Membership Directory
We will be including in our on-line membership directory a section listing Pulaski County Bar Association members by their identified areas of interest. This separate section of the Directory will serve to index members by their areas of practice to provide ease in referral of cases. There is no charge for this service.
Please indicate your areas of interest by checking
up to three (3) categories
in which you want to be included.
Areas of Interest
*
1. Administrative
2. Admiralty / Maritime
3. Adoption
4. Alternative Dispute Resolution
5. Antitrust and Trade Regulations
6. Appellate Practice - Admin
7. Appellate Practice - Federal
8. Appellate Practice - State
9. Aviation
10. Banking
11. Bankruptcy
12. Bonds
13. Business Torts
14. Civil and Individual Rights
15. Collections
16. Commercial Litigation
17. Constitutional
18. Construction
19. Consumer Protection
20. Copyrights and Trademarks
21. Corporations/Business
22. Creditors Rights
23. Criminal - Federal
24. Criminal - State
25. Disability
26. Disciplinary Proceedings
27. Education
28. Elder
29. Eminent Domain
30. Employee Benefit / ERISA / Pensions
31. Entertainment
32. Environmental
33. Equine Law
34. Family and Marital Law
35. Federal Employees including Discrimination
36. Franchise
37. General Practice
38. Guardianship / Mental Health
39. Health and Hospital
40. Immigration and Naturalization
41. Insurance
42. Intellectual / Computer Property
43. International
44. Internet / Electronic Commerce
45. Juvenile
46. Labor and Employment
47. Landlord / Tenant and Housing
48. Legal Education
49. Legislative
50. Malpractice - Legal
51. Malpractice - Medical and Dental
52. Maritime
53. Municipal
54. Partnership
55. Patent, Trademark and Copyright
56. Personal Injury
57. Probate
58. Product Liability
59. Public Utilities
60. Real Estate
61. Reproductive Health and Technologies
62. Securities
63. Social Security
64. Sports Law
65. State and Local Tax
66. Tax
67. Toxic Tort
68. Traffic / DUI
69. Trial Practice - Appellate/Adm.
70. Trial Practice - Appellate/Federal
71. Trial Practice - Civil
72. Trial Practice - Federal / Civil
73. Trial Practice - Federal / Criminal
74. Trial Practice - State / Civil
75. Trial Practice - State / Criminal
76. Wills, Trusts and Estate Planning
77. Workers Compensation
Your Total
$0.00
Total amount
Because your total is $0.00, you are not required to fill out any payment information on this page. Please submit your membership information by clicking the button below.
Credit Card
American Express
Discover
MasterCard
Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Expiration Date
Security Code
Cardholder Name
PCBF Donation
You will be automtically redirected to the PCBF donation page after you submit this form. Thank you for your donation!