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2020 Membership Form 2020 MEMBERSHIP FORM 1200 SW Harrison St., Topeka, KS 66612 Through December 31, 2020 P: 785-234-5696 F: 785-234-3813 Register or renew online at www.ksbar.org/joinrenew Lawyer Referral Service: 1-800-928-3111 (REQUIRED) Name A. MEMBERSHIP DUES Dues based on year of admission to Kansas bar; if no Kansas admission, Informal Name Supreme Ct # dues based on first admitted state bar. Firm/Company/Agency Regular Attorney – Admitted 2015 or prior ................................���.����$285 Street Address PO Box Government Attorney/Judges/Non-lawyer Magistrates��������������������$170 City State Regular or Government Attorney – Admitted 2016-2018 ���...�������������$130 Legal Assistants/Paralegals �������������������������������������������������������������������$85 Zip County Inactive (Must be inactive with Kansas Supreme Court) ��������������������������$85 Phone Fax Admitted in 2019-2020 (includes YLS membership) �������������.��������������FREE Email Kansas Law School Student (includes YLS membership) �����������������FREE Kansas Paralegal Student �������������������������������������������������������������������FREE o Male o Female Birthdate (mo�/day/year) Lifetime (KBA member for 50 or more years) ���������������������������������������FREE First Year Admitted to Bar: Year State Year Admitted to Kansas Bar (if different from above) B. SECTION ENROLLMENT (OPTIONAL) Law School All sections are $20 each unless specified. o Administrative Law o Health Law I consent to receiving email and fax communications by or on o Agricultural Law o Immigration Law behalf of the KBA or its subsidiaries, and that my mailing address may also be used in this regard. o Alternative Dispute Resolution o Indian Law o Appellate Practice o Insurance Law Signature o Bankruptcy & Insolvency o Intellectual Property Law o Check here to OPT-OUT of our public listing on www�ksbar�org o Construction Law o Litigation o Corp�, Banking & Business Law o Oil, Gas & Mineral Law Electronic Hard copy Both Journal Delivery: o Corporate Counsel o Real Estate, Probate & Trust Law Primary Practice Information – Check one: o Criminal Law o Elder Law o Religion Law o Private Practice Corporate Law Dept. Judge Government o Solo & Small Firm o Legal Education Non-Law Related Retired Legal Services o Employment Law o Family Law o Tax Law Number of lawyers in your office – Check one: o Government Law o Young Lawyers ($10) o 1 o 2-5 o 6-10 o 11-20 o 21-30 o 31-50 o 50+ To age 36 or admitted in past 5 years Practice Areas – Check areas that best describe your practice: C. KANSAS BAR FOUNDATION Administrative Law Insurance Law (Litigation) A tax-deductible gift to support the charitable endeavors of the Kansas Bar Agricultural Law Insurance Law (Regulatory) Foundation (KBF) including scholarships, educational materials, support for Alternative Dispute Resolution Intellectual Property Law programs providing access to legal services for low-income Kansans, and more. Appellate Practice (Patent, Trademark & Copyright) I'd like to donate towards my Annual Fellow Pledge of: Bankruptcy, Insolvency & International Law Reorganization Labor & Employment Law o $100 o I'm not a Fellow, but I'd like to make a donation $ Civil Rights Litigation Collections (Commercial & Business) D. PAC CONTRIBUTION Construction Law Litigation Consumer Protection (General Civil Practice) o $10 KBA Political Action Committee (PAC) contribution Corp., Banking & Business Municipal Law Corporate Counsel Oil, Gas & Mineral Law E. PAYMENT TOTAL Criminal Law (Defense) Public Utility Law & $ Criminal Law (Indigent Defense) Regulated Industries (Add sections A, B, & D) Criminal Law (Prosecution) Real Estate Law Check # (payable to Kansas Bar Association) Elder Law School Law Environmental Law Taxation o Visa o MasterCard o American Express o Discover Card Family Law Tort & Personal Injury Card # Exp� Date General Practice Trade & Professional Associations Signature CVC # Health & Hospital Law Trust, Estate Planning & Probate Indian Law Workers’ Compensation Single payment (traditional pay) Monthly billing Auto renewal Tax Consideration: In compliance with the Omnibus Budget Reconciliation Act MAILING INFORMATION/QUESTIONS of 1993, we estimate 7% of your KBA membership dues are not deductible as a Kansas Bar Association 785-234-5696 business expense because they are allocable to lobbying expenditures. • Mail to: • Help: 1200 SW Harrison St�, Topeka, KS 66612 93% of 2020 membership dues and 100% of section membership dues may be [email protected] form with credit card info to: deductible as a business expense. Dues are not deductible as charitable • Fax • Register or Renew Online: (785) 234-3813� contributions. www.ksbar.org/joinrenew BEING A KBA MEMBER HAS ITS BENEFITS CasemakerDigest YOUR PARTNER IN THE PROFESSION • WWW.KSBAR.ORG YOUR KBA Weekly ® For more information on each benefit, please go to www.ksbar.org/benefits.
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