OCBA Application for Membership
Ontario County Bar Association Membership Application
Prefix
Clear selection
First Name *
MI
Middle Initial
Last Name *
Email 1 *
Email for OCBA correspondence (and online publication unless opting out below.)
Email 2-optional
Optional email for online publication in member list - if different from Email 1
Firm
(Optional)
Address 1 *
Street address of office
Address 2
Optional Line 2 of office street address
City *
State *
2 digit abbreviation
Zip *
Mailing Address
ONLY IF DIFFERENT FROM OFFICE ADDRESS
Phone *
xxx-xxx-xxxx plus ext. format
Fax
xxx-xxx-xxxx format
Website URL
Opt-Out
Online Listing: Please check information that you do NOT want published in our online member listing
Type *
Membership Level and Annual Dues/Choose One
Payment *
Please indicate method of payment for dues submission/Choose one
Categories (5 max) *
Select up to 5 categories for your online member listing. If more than 5 are selected, only the first 5 will display.
Required
Attorney Applications Only:
Law School
Law school attended
Year Graduated
Year of law school graduation
Admittance
Date admitted to practice in NYS
Dept
Department admitted
Other Bars
Please list other State Bars currently admitted to/admission date
Certification *
I certify that I will abide by the Ontario County Bar Association's bylaws, I will notify the OCBA in writing immediately of any disciplinary actions concerning my license to practice in this or any State, and I further certify that: I am licensed to practice law in the State of New York (if regular, attorney member) AND I either reside in or practice law in Ontario County (if unretired attorney member) OR I am a 7th Judicial District Judge or court staff, I am a retired attorney, OR I am a non-attorney affiliate applicant.
Required
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