CAPE MAY COUNTY BAR ASSOCIATION - 13th ANNUAL RACE JUDICATA 5K RUN & 1K WALK

  2017 CMCBA MEMBERSHIP APPLICATION AND LAWYER REFERRAL APPLICATION




           
NAME
FIRM
ADDRESS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
YEAR OF ADMISSION TO THE BAR
I HEREBY PRESENT MY APPLICATION FOR MEMBERSHIP IN THE CMCBA (PLEASE TYPE IN NAME)
DATE
FOR ASSOCIATE MEMBERS ONLY: I CERTIFY THAT I DO NOT HAVE A OFFICE OR HOME IN CAPE MAY COUNTY (PLEASE TYPE NAME)
DATE
TO BE COMPLETED BY ALL MEMBERS: PLEASE COMPLETE THE FOLLOWING BY CHECKING THE APPROPRIATE BOX:
FIRST YEAR OF ADMISSION-$125.00
SECOND YEAR OF ADMISSION-$150.00
THREE OR MORE YEARS OF ADMISSION-$175.00
PUBLIC DEFENDERS OFFICE-$75.00
AFTER 40 YEARS OF ADMISSION/RETIRED-FREE
LAW STUDENT/LAW CLERK-FREE
ASSOCIATE MEMBER-$100.00
PLEASE CHECK IF APPLICABLE:
LAWYER REFERRAL-$175.00
PLUS $25.00 FOR EACH ADDITIONAL CATEGORY
YOUNG LAWYERS DIVISION (UNDER 36 YEARS OF AGE)
OR LESS THAN 5 YEARS IN PRACTICE
CAPE MAY COUNTY BAR ASSOCIATION-LAWYER REFERRAL SERVICE APPLICATION-JANUARY 1, 2017-DECEMBER 31, 2017
NAME
FIRM
ADDRESS
ALTERNATE OFFICE
CITY
STATE
ZIP
PHONE
FAX
YEAR OF ADMISSION IN NEW JERSEY
ARE YOU ADMITTED IN ANY OTHER STATE?
ARE YOU WILLING TO ACCEPT CASES IN ANY OTHER STATES?
FOREIGN LANGUAGES
ARE YOU WILLING TO ACCEPT ONE REFERRAL PER YEAR IN WHICH THE CLIENT IS UNABLE TO PAY FOR YOUR SERVICES?
LAWYER REFERRAL CERTIFICATION
BY EXECUTION OF THIS APPLICATION, I HEREBY CERTIFY AS TO ALL OF THE FOLLOWING:
I AM MEMBER IN GOOD STANDING OF THE NJSBA
I AM AN ACTIVE MEMBER/GOOD STANDING IN THE CMCBA
I AM DULY QUALIFIED TO PRACTICE LAW
I HAVE THE REQUISITE EXPERIENCE AND COMPETENCE TO
PRACTICE IN THE AREAS FOR WHICH I SEEK REFERRALS
AS BY THE CODE OF PROFESSIONAL RESPONSIBILITY
I WILL ADHERE TO THE RECOGNIZED ETHICAL STANDARDS
OF THE PROFESSION
I WILL CARRY PROFESSIONAL LIABILITY INSURANCE WITH
A REQUIRED MINIMUM OF $100,000 AND $300,000 WITH A
$__________________ DEDUCTIBLE.
______________________ INSURANCE COMPANY
______________COVERAGE AMOUNT
I AGREE TO BE BOUND BY ALL RULES AND REGULATIONS OF THE LAWYER REFERRAL SERVICES, PRESENTLY OR AS MAY BE MODIFIED IN THE FUTURE.
PLEASE CHECK OFF FOR E-SIGNATURE

EACH BOLDED SECTION IS CONSIDERED ONE AREA OF LAW FOR WHICH THE FEE IS $175.00. YOU MAY SELECT AS MANY SUBCATEGORIES AS YOU LIKE WITHIN ONE AREA FOR $175.00. EACH ADDITIONAL AREA OR BOLDED SECTION IS $25.00. AGAIN, YOU MAY CHECK OFF AS MANY AS NEEDED WITHIN THE ADDITIONAL AREA FOR AN ADDITIONAL $25.00.
COMMERICIAL (ALL CATEGORIES)
BANKING
BANKRUPTCY
COLLECTIONS
CONSTRUCTION
CONSUMER PROTECTION
CONTRACTS
CORPORATIONS
INSURANCE

CRIMINAL (ALL CATEGORIES)
JUVENILE
MAJOR CRIMES
MUNICIPAL COURT
FAMILY (ALL CATEGORIES)
ADOPTION
CHILD ABUSE/DYFS
CUSTODY/VISITATION
DOMESTIC VIOLENCE
GUARDIANSHIP/INCOMPETENCY
PATERNTIY
PROPERTY SETTLEMENT AGREEMENTS
SEPARATION/DIVORCE
CHILD SUPPORT
PROPERTY (ALL CATEGORIES)
ADVANCE DIRECTIVES
CONDEMNATION
FORECLOSURE
LANDLORD TENANT
LAND USE PLANNING
TAX APPEALS
REAL ESTATE
WILLS/TRUSTS/ESTATE PLANNING
EMPLOYMENT LAW (ALL CATEGORIES)
LABOR RELATIONS-EMPLOYEES
LABOR RELATIONS-EMPLOYERS
UNIONS
UNEMPLOYMENT COMPENSATION
TORTS (ALL CATEGORIES)
CIVIL RIGHTS
INTENTIONAL TORTS
NEGLIGENCE
POLICE MISCONDUCT
PROFESSIONAL MALPRACTICE
PRODUCT LIABILITY
WORKERS COMPENSATION
SPECIAL AREAS
ANIMAL RIGHTS
APPELLATE PRACTICE
CASINO CONTROL
COMPUTERS
CIVIL TRIAL
DISABLED PERSONS
DISCRIMINATION
EDUCATION/SCHOOL LAWS
ELDER LAW/MEDICARE/MEDICAID
ENTERTAINMENT
ENVIRONMENTAL
HEALTH CARE
IMMIGRATION & NATURALIZATION
LEMON LAW
MILITAR/VETERANS AFFAIRS
PATENTS/TRADEMARKS/COPYRIGHTS
PERSONAL INJURY
RECORDS
SMALL CLAIMS
SOCIAL SECURITY/DISABILITY
TAXATION

MEDIATION
FAMILY
ECONOMIC
CIVIL
FORECLOSURE

OTHER AREAS (PLEASE SPECIFY)
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