NHWBA: join us

Please fill out the form below to join the New Hampshire Women's Bar Association. Dues can be paid either by PayPal or Check.

Prefix
First Name:
Middle Initial:
Last Name:
Firm/Organization/Agency:

Address 1:
Address 2:
City:
County:
State:
Zip Code:
Business Phone:
(include area code)

Other Phone:
(include area code)

Fax:
Email:

Are you admitted to the New Hampshire Bar Yes No

If no, please enter the states where you are admitted to practice

States:

Type of Practice Annual Dues (Please Select):

If you practice in the public sector/non-profit, please check below to recieve a 50% reduction in dues.

Public Sector Discount? Yes No

Form of Payment:	Check (to be mailed to NHWBA)
	PayPal

Comments:

Areas of Practice (choose no more than three):

Administration Regulatory	Admiralty	Alternative Dispute Resolution	Antitrust Litigation
Appellate	Banking	Bankruptcy	Business Litigation
Civil Rights	Collaborative Law	Construction	Consumer Law
Corporate /Commercial	Criminal	Education	Elder Law
Employee Benefits/ERISA	Employment Litigation: Defense	Employment Litigation: Plaintiff	Entertainment/ Media
Environment	Environmental Litigation	Estate Planning / Probate	Family Law/ Adoption
General Practice	Government/ Public Sector	Health Care	Immigration
Insurance	Intellectual Property	International	Judicial
Juvenile	Labor/Employment	Land Use	Landlord/Tenant
Legal Services	Litigation	Lobbying/Govt. Relations	Medical Malpractice
Mergers & Acquisitions	Military/Veterans	Municipal	Personal Injury: Defense
Personal Injury: Plaintiff	Prof. Malpractice	Public Interest/Non-Profit	Real Estate
Retired	Securities Litigation	Securities/Corporate Finance	Social Security Disability
Tax	Worker's Comp.

Please indicate whether you would like to join any of the following committees:

brown bag lunch	evening speaker	membership	mentoring
networking	programming	public policy	public service
scholarship fund	women in judiciary

NHWBA: join us

NHWBA | PO Box 915 | Manchester, NH 03105-0915 | info@nhwba.org