ADMIRALTY & MARTIME SECTION
of the LONG BEACH BAR ASSOCIATION
MEMBERSHIP APPLICATION

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Member Name:      Cal State Bar Number:

E-Mail Address:

MEMBER OF LONG BEACH BAR ASSOCIATION : YES    NO

OFFICE ADDRESS:

MAILING ADDRESS (if different):

TELEPHONE NUMBER: FAX NUMBER:

AREAS OF MARITIME PRACTICE:

OTHER AREAS OF PRACTICE:



Confidential Information
(optional)

DATE ADMITTED TO CALIFORNIA BAR: DATE OF BIRTH:

LAW SCHOOL: STATE:

ADMITTED IN OTHER STATES (If yes, please list):

NUMBER OF ATTORNEYS IN YOUR OFFICE:

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