Membership Application

Member Application/Registration

The undersigned hereby applies for membership in the Association of Southern California Defense Counsel, and furnishes the following information in connection therewith:

Name
Primary Specialty
Email
Sponsoring Member
Bar I.D. #
Birthdate
Year of bar admission:

Firm Name
Address
Address2
City
State	Zip
County
Phone
Fax

If a member or associate of a law firm, give number of years you have been associated with said firm:

If full-time employee of an insurance company,
corporation or public entity, give name of your
employer and your title or position:

Degrees held, both academic and law,
year of graduation and school:

List all bar associations and all other
professional organizations to which you belong:

Does your practice substantially involve the defense of civil and business matters, including the prosecution of eminent domain proceedings?
Membership fees
First year membership fee: $125.00. Membership fees are $230.00 after the first year. When you submit your application, please send your check to: ASCDC, 888 South Figueroa St., 16th Floor, Los Angeles, CA 90017-2516 (make check payable to ASCDC). Thank you.

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