NAME:_____________________________________________________ Supreme Court #__________________
FIRM/EMPLOYER_____________________________________________________________________________
ADDRESS:___________________________________________________________________________________
E-MAIL ADDRESS:__________________________________________________________________________
PHONE:____________________________________________________________________________________
PCBA ANNUAL MEMBERSHIP DUES STRUCTURE
_____Attorneys licensed less than One Year $25.00
_____Attorneys licensed One to Five Years $50.00
_____Attorneys licensed Five or More Years $75.00
_____Life Member (70 years of age or older) $-0-
_____ Judge* $-0-
_____Contribution to Pulaski County Bar Association Contribution $_________
Membership dues are not deductible as a charitable contribution for income
tax purposes, but may be deductible as ordinary and necessary business expenses
_____Contribution to the Pulaski County Bar Foundation
(a bar related IRS Code 501(c)(3) organization) Contribution $_________
Your voluntary contribution to the Pulaski County Bar Foundation
is tax deductible to the full extent allowed by law
Regular Member: Any person licensed to practice before the Supreme Court of Arkansas
Associate Member: Any person admitted to practice before any court of final jurisdiction in any state of the United States and who is a resident of Arkansas but is not admitted to practice law in Arkansas may be granted membership and may participate fully in the activities and committee work of the Association except that he may not hold office or membership on the Board of Directors or vote in the election of officers and directors. Associate members shall pay the same membership dues as other members and shall be eligible for the same benefits of the Association except as herein provided.
Associate members use the same dues structure as regular members.
*Judges include: Circuit, Chancery, Juvenile and District Courts located in Pulaski County; Arkansas Supreme Court and Arkansas Court of Appeals and United States District Court for the Eastern District of Arkansas, Western Division
As a member benefit, you will receive the Friday edition of The Daily Record, in which appears the Association’s newsletter to its members. If you do not wish to receive the Friday edition of The Daily Record, please initial this space: ________
Method of Payment: ______ Check Enclosed ______ AMEX _____Mastercard _____VISA
Name____________________________________________Address______________________________________________
Please Print (If different from above)
Card No. __________________________________ Exp. Date______Signature___________________________________
Pulaski County Bar Association
1201 McMath Avenue, Suite 101
Little Rock, AR 72202
(501) 324-9929
fax (501) 324-9408
