OCBA Application for Membership
Ontario County Bar Association Membership Application
Prefix *
First Name *
Your answer
MI
Middle Initial
Your answer
Last Name *
Your answer
Email *
Your answer
Firm
(Optional)
Your answer
Address 1 *
Street address of office
Your answer
Address 2
Optional Line 2 of office street address
Your answer
City *
Your answer
State *
2 digit abbreviation
Your answer
Zip *
Your answer
Mailing Address
ONLY IF DIFFERENT FROM OFFICE ADDRESS
Your answer
Phone *
xxx-xxx-xxxx plus ext. format
Your answer
Fax
xxx-xxx-xxxx format
Your answer
Website URL
Your answer
Opt Out
Optional: 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
Admittance
Date admitted to practice in NYS, if attorney applicant
Your answer
Dept
Department admitted
Your answer
Other Bars
Please list other State Bars currently admitted to/admission date
Your answer
Law School
Law school attended, if attorney applicant
Your answer
Year Graduated
Year of law school graduation, if attorney applicant
Your answer
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, OR I am a non-attorney affiliate applicant.
Required
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