2010 HAMILTON COUNTY BAR ASSOCIATION APPLICATION

Name: _______________________________

Office/Law Firm: _______________________________

Address: _______________________________

_______________________________

Phone No.: _______________________________

Fax No.: _______________________________

E-mail: _______________________________

Please check if you wish to serve on a committee:

_______ Nominating

_______ Judicial Liaison, Procedures and Forms

_______ Continuing Legal Education

_______ Ethical Standards

_______ Social

_______ Public Service

_______ Public Relations

_______ Records and Awards

Please check one of the following:

_______ Regular Member (your principal office for practice located in Hamilton County) $50 for one-year membership)

_______ Associate Member (your principal office for practice located outside Hamilton County) $30 for one-year membership)

Please make dues payable to the Hamilton County Bar Association and return to:

Thomas Aycock, Treasurer

Hamilton County Bar Association

23 South 8^th Street

Noblesville, Indiana 46060

If you would like your area of practice listed in our directory and on our website, please indicate your primary practice area(s)

____ Divorce ____ Criminal Defense

____ Estate Planning/Probate ____ Personal Injury

____ Bankruptcy ____ Contracts

____ Mediation ____ Adoption

____ Guardianships ____ Business Law

____ Traffic Violations ____ Elder Law

____ Custody and Support ____ Other _________________