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Membership Application

Haitian Lawyers Association, Inc.

C/O Jeff P. H. Cazeau, Esq.
Weiss Serota Helfman Pastoriza Cole & Boniske, P.A
2525 Ponce De Leon Blvd
Coral Gables Florida 33134
PH: (305) 854-0800
FX: (305) 854-2323

2007 STATEMENT OF DUES
March 2007- February 2008


THIS STATEMENT ADDRESSES DUES FOR THE HAITIAN LAWYERS ASSOCIATION, INC. (HLA). PLEASE CHECK THE APPROPRIATE BOXES. PLEASE MAKE YOUR CHECK PAYABLE TO “HAITIAN LAWYERS ASSOCIATION” OR “HLA” AND RETURN IT TO THE ADDRESS INDICATED ABOVE.


PERSONAL
Renewal (Please update and add information as necessary.) New Member (Please complete all areas.)
Name: Practice Area:
Firm Name or Business:
Business Address:
Business Telephone: Facsimile Number:
E-mail Address: Law School/Year:

FEES
Associate Membership: (Law Students) - $25.00
Regular Membership:
Admitted to Bar less than 5 years - $50.00
Admitted to the Bar more than 5 years - 100.00$
TOTAL AMOUNT ENCLOSED $

COMMITTE INTERESTS:

(check all that apply)
Legislative Website Banquet
Membership Koze Legal Bylaws/Parliamentary
Advisory Board Scholarship/Memtorship
CHECK NO.

 

HAITIAN LAWYERS ASSOCIATION
SERVING THE NEEDS OF OUR COMMUNITY