RBBA Membership Application
Thank you for being a member of the Rochester Black Bar Association!
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Mailing Address (Street)
*
Mailing Address (City, State Zip)
*
Email
*
Phone number
*
Law School
*
Employer *
Membership Type
*
In December 2023, RBBA changed its operating year (from January to December) to July to June.  

As such, the following dues amounts cover the entire transition period to our new operating year: membership from January 1, 2024 through June 30, 2025 (i.e., 18 months).  

Dues will return to $0/$20/$50/$150 in July 2025.

How Do You Plan to Pay Your Dues?
*
Interested in Receiving Referrals?  
(If so, please indicate practice areas)
I am willing to....
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report