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Local and Special Purpose Bar Associations Officer Information Form

Questions? Please contact Candace Crowley at (517) 346-6319 or ccrowley@mail.michbar.org

Print Mail/Fax Form PDF

Bar Association Name:
Please give your name and contact information in case of questions regarding this form:
     
Number of members:  
     
Dues structure:
     
Committees/Sections
Please list the names of committees and sections in your association, i.e. Public Outreach, Young Lawyers, Membership Services, etc.
    
    
    
    
    
    
    
    
    
    
    
     
Website and Listserve  
Please provide the e-mail address of an association leader who would like to be included on a listserv for the 2011-2012 leadership year:
   
     
If not already posted on the State Bar's Local and Special Purpose Bar Association website, please provide a website address for your organization:
   
     
Officer Information
Please enter the name, P#, or address for all those who hold office during the 2011-2012 leadership year.
Officer elections are held:    Election month:     Term length:
     
Term Expires:
P#:
Name:
Address:
City, State, Zip:
Phone:
 Fax:
e-Mail:
     
Term Expires:
P#:
Name:
Address:
City, State, Zip:
Phone:
 Fax:
e-Mail:
     
Term Expires:
P#:
Name:
Address:
City, State, Zip:
Phone:
 Fax:
e-Mail:
     
Term Expires:
P#:
Name:
Address:
City, State, Zip:
Phone:
 Fax:
e-Mail:
     
Term Expires:
P#:
Name:
Address:
City, State, Zip:
Phone:
 Fax:
e-Mail:
     
Term Expires:
P#:
Name:
Address:
City, State, Zip:
Phone:
 Fax:
e-Mail:
     

Other Information:

  
Please use the space below to furnish any information you think will be helpful.
   
     
Questions? Please contact Candace Crowley at (517) 346-6319 or ccrowley@mail.michbar.org