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Membership Form

SUNNYVALE-CUPERTINO BAR ASSOCIATION

MEMBERSHIP DUES STATEMENT 2009

DUES FOR 2009: $95.00

*****EARLYBIRD SPECIAL:  ONLY $85.00 IF POSTMARKED BY DECEMBER 31, 2008*****

Please mail this completed form along with a check payable to “Sunnyvale-Cupertino Bar Association" to:

SCBA

Attn: Linda Dahl

20370 Town Center Lane #100

Cupertino, CA 95014

tel: 408-858-1418 fax: 408-252-5906
 

NAME: ______________________________________________________

LAW FIRM NAME: _____________________________________________

STREET ADDRESS: ___________________________________________

CITY/STATE/ZIP: ______________________________________________

TELEPHONE: _________________________________________________

FAX NUMBER: ________________________________________________

E-MAIL ADDRESS: ____________________________________________

WEBSITE: ____________________________________________________

Please list all areas of practice you wish to be listed under:

1.____________________________________________

2.____________________________________________

3.____________________________________________

4.____________________________________________

5.____________________________________________

6.____________________________________________

7.____________________________________________

(If you have any questions, please contact the Bar Association Secretary,Linda Dahl, at
408-858-1418)