Waterbury Bar Association

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Home
Membership
Scholarship
About Us
Resources
Contact

Membership

Membership Application/Renewal

Please fill out the Membership Application form completely.
Upon hitting submit you will sent to the payment page.

Membership Form

Please complete the following form and submit with your dues payment via PayPal.

Full Name *

Individual CT Juris # *

Firm/Employer *

Mailing Address *

Phone Number *

Fax

Email Address *

Law School

Date Graduated

Date Admitted to CT Bar

Other Bar Memberships

Primary Practice Areas

Please check the applicable categories below:

Attorney MemberAdmitted to CT Bar 2023-2024 - $0.00Admitted to CT Bar 2018-2022 - $30.00Admitted to CT Bar pre-2018 - $100.00Retired Members (Honorary) - $0.00Judges, Magistrates, Commissioners - $0.00Full Time Legal Aid(i.e. Connecticut Legal Services) - $0.00

Associate MemberLaw Student $0.00Law Clerk $25.00State/Judicial Employees $50.00Paralegals/Legal Assistants $20.00Law Librarians/Professors $20.00

Additional Amount(Please note that your contribution may be considered a tax-deductible item. Please consult your tax advisor.)

I am enclosing an additional

USD

as my annual contribution to the WBA Memorial Scholarship Fund in honor of

MENTORING PROGRAMThe Waterbury Bar Association is joining with the Connecticut Bar Association in launching a mentoring program for new lawyers who reside or have an office in the Greater Waterbury area.

Please check if you are interested in participating in this program.YES

ProgramMenteeMentor

COMMITTEESPlease check any/all Committees you are interested in joining or receiving information from:

Committee MemberSocial MediaEventsScholarshipYoung LawyersCLEMembershipMentoringBoard Service

Information OnlySocial MediaEventsScholarshipYoung LawyersCLEMembershipMentoringBoard Service

Total Amount

USD

Waterbury Bar Association

P.O. Box 1767
Waterbury, CT 06721

info@waterburybar.org

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