JRCLS Orange County Chapter

New Membership Application

First Name*:
Middle Name:
Last Name*:
Suffix:
Email address*:
Select Membership Level:
Gold: Includes lunch events and the annual dinner Silver: Includes lunch events, but not the annual dinner Bronze: Includes discounts on the lunch events Judges: Complementary membership includes lunch events and the annual dinner Law Students: Complementary membership includes lunch events NOTE: For those not ready to be a member yet, join the mailing list.
SPECIAL CATEGORY (50% discount on membership):
I am a:	New Lawyer (0-3 years)
	Senior (65 years or older)
	Employed less than full-time
*Designates a mandatory field

We also want to encourage you to join the Orange County Bar Association. In addition to networking opportunities, and a wide variety of MCLE opportunities and other resources, they make a donation to the JRCLS for each of our members that joins the OCBA. To join the OCBA, visit www.ocbar.org/join, and be sure to indicate your affiliate status with JRCLS so that we get credit for the donation.

YOUR PROFILE

Employer/Law School Name
Position:
Street Address:
City:
State:
Zip:
Business Phone Number:
Business Fax Number:
Website URL:
Area of Practice: Please select no more than 3 NOTE: (to make multiple selections, down the "ctrl" button while clicking):
Submit Photo IMPORTANT File must be less than 5MB in size
If LDS, list Stake and Ward	Stake: Ward:

Pro or Low Bono Service:
Would you be willing to provide free or reduced-fee legal service to individuals referred to the JRCLS by local ecclesiastical leaders:	Yes No Maybe
If yes, please indicate the practice area for which you would be willing to provide these services:

By submitting this form I agree to receive communications from the J. Reuben Clark Law Society and its chapters, including emails, faxes, mailings, etc. I understand these will relate to the Society's mission, business, and events. I also approve use of my contact information in the Society's directories.