WSBCBA Membership Application

Full name (required)

Firm (required)

Address (required)

City, State, Zip (required)

Phone (required)

Fax (required)

E-mail (required)

Date Of Birth (required)

State Bar No.(required)

Date Admitted (required)

Area of Practice Of Profession (required)

Type of Membership(required)

Licensed 6 years plusLicensed 2-5 yearsLicensed 0-2 yearsAssociate MemberAffiliate MemberLaw StudentSenior/Honorary Member

PHOTO IDENTIFICATION DISCLAIMER

As a member of the Western San Bernardino County Bar Association and in consideration of the benefit of the alternative access to the courthouse(s) which access has been granted by the courts, I agree to abide by all laws concerning the introduction of weapons into the courthouse. I agree that should I fail to abide by those laws prohibiting weapons being introduced into the courthouse, I will hold harmless the Western San Bernardino County Bar Association, its officers, directors, employees and members, and all associated County officials. I further recognize that the privilege granted to have quick access may be revoked at any time by the Court or by the Western San Bernardino County Bar Association. The photo identification is for the benefit of the member alone and cannot be transferred to any other individual.

Please email a color photo along with your name to lindsay@wsbcba.org for your bar card.

You may use my photo.

YesNo

Member Signature

Please press SUBMIT to send your application.