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SOUTH ASIAN BAR ASSOCIATION OF CONNECTICUT

2010 MEMBERSHIP FORM

NAME: *

PREFERRED E-MAIL: *

CATEGORY:

Professional

Student

Honorary****

EMPLOYER/SCHOOL: *

TYPE:

	Law Firm		Public Sector		In-House Counsel****		Self-Employed
	Academia		Judicial		Military/Government		Other

TITLE: *

PRACTICE AREAS: *

BAR ADMISSION:

Other

MAILING ADDRESS: *

PHONE NUMBER: *

FAX NUMBER:

Please list your affiliations or associations with other Diversity/Pro Bono/Community Service Organizations: *

Committee Participation:

Would you be interested in being contacted to participate in a SABAC Committee?

Yes

Feedback:

Please share your ideas for SABAC events or initiatives: *

Membership Dues:

Private Sector - $50

Public Sector - $20

Students - $0

Honorary - $0

**** Any individual who is interested in the purposes of SABAC who is not a member of a state bar or a law student shall be eligible to become an Honorary Member. Honorary Members shall have the right to participate in and attend programs and seminars offered by SABAC, but shall have no right to vote for the election of directors or officers or on any other matter which may come before the Corporation, shall not be entitled to receive notice of meetings, and shall not be eligible to serve as an Officer or Director of SABAC.

(*)Mandatory Field