Through December 31, 2021

2021 Membership Form

Contact Information Name

Street Address

City State Zip Code

Phone Number Cell Phone Email

Additional Information Firm/Company/Agency Supreme Ct #

Private Practice Information

☐ Corporate Law Dept. ☐ Government ☐ Judge ☐ Legal Education ☐ Legal Services ☐ Non-Law Related ☐ Private Practice ☐ Retired

Number of Lawyers in your Office

☐ 1 ☐ 2-5 ☐ 6-10 ☐ 11-20 ☐ 21-30 ☐ 31-50 ☐ 50+

First Year Admitted to Any State Bar State Year Admitted to Kansas Bar (if different)

Communication Preferences ☐ I consent to receiving email and SMS text messages by or on behalf of the KBA or its subsidiaries, and that my mailing address may also be used in this regard.

☐ OPT-OUT of public listing on www.ksbar.org

Journal Delivery (Please select 1 Option) ☐ Electronic ☐ Hard Copy

Payment & Billing Information Payment Total $ (Add Membership Dues, Section(s) Enrolled, & CLE Package(s)) Billing Information (Choose payment method & return to KBA by mail or email OR submit online at www.ksbar.org/joinrenew)

Card #

☐ Visa ☐ Master ☐ American ☐ Discover Exp. Date CVS# Card Express Card Signature

☐ Single payment (traditional pay) ☐ Monthly Billing ☐ Auto Renewal

Submit Online at: Mail to (payable to Kansas Bar Association): Email to: Fax to: Kansas Bar Association www.ksbar.org/page/membership PO Box 751080, Topeka KS 66675-1080 [email protected] 785.234.3813 Through December 31, 2021

Membership Dues Dues based on year of admission to the Kansas bar; if no Kansas admission, dues based on first admitted state bar. All member types are eligible to purchase sections below regardless of membership dues cost. ☐ Regular Attorney – $285 ☐ Legal Assistants/Paralegals $85 ☐ Kansas Law School Student FREE Admitted 2016 or prior (includes YLS membership)

☐ Government Attorney/ $170 ☐ Inactive (Must be inactive with $85 ☐ Kansas Paralegal Student FREE Judges/Non-lawyer Kansas Supreme Court) Magistrates (2016 or prior)

☐ Regular or Government $130 ☐ Admitted in 2020-2021 (includes FREE ☐ Lifetime (KBA member for 50 or FREE Attorney – Admitted YLS membership) more years) 2017-2019

Section Enrollment Section benefits include CLE, newsletter & networking events. All sections are $20 each unless specified. ☐ Administrative Law ☐ Elder Law ☐ Intellectual Property Law ☐ Agricultural Law ☐ Employment Law ☐ Litigation ☐ Alternative Dispute Resolution ☐ Family Law ☐ Oil, Gas & Mineral Law ☐ Appellate Practice ☐ Government Law ☐ Real Estate, Probate & Trust Law ☐ Bankruptcy & Insolvency ☐ Health Law ☐ Religion Law ☐ Construction Law ☐ Immigration Law ☐ Solo & Small Firm ☐ Corp., Banking & Business Law ☐ Indian Law ☐ Tax Law ☐ Corporate Counsel ☐ Insurance Law ☐ Young Lawyers – admitted in past 10 years ($10) ☐ Criminal Law

Add-ons Kansas Bar Foundation CLE Packages A tax-deductible gift to support the charitable endeavors of the Get the VIP Treatment with KBA’s new CLE VIP Club and On- Kansas Bar Foundation (KBF) including scholarships, educational Demand All-Access Pass materials, support for programs providing access to legal services for low-income Kansans, and more.

I’d like to donate towards my Annual Fellow Pledge of: ☐ CLE VIP CLUB ($99 for One Year) Save up to 15% on in-person and live webinar CLE programs in 2021 with our special VIP Club pricing! ☐ $100 ☐ I’m not a Fellow, but I’d like to $ $ (Some exclusions apply. VIP Club discount will not apply to make a donation affiliate provider webinars, KBA Annual Meeting, Ethics for Good, and other Foundation sponsored CLEs.)

☐ On-Demand All Access Pass ($499 for One Year) Get unlimited access to our brand new On-Demand CLE Library, where new programs are being added all the time. This pass is good for January 1 – December 31, 2021. (For the compliance year ending June 30, 2021, Kansas attorneys may receive all 12 required CLE hours via On- Demand programming. Ordinarily, attorney credits for On- Demand programming are restricted to 6 hours per compliance year.) Pro Bono Volunteer Interest

☐ Yes! I am interested in serving as a Pro Bono Volunteer. ☐ No, thank you – I am NOT interested in serving as a Pro Bono Volunteer.

Tax Consideration: In compliance with the Omnibus Budget Reconciliation Act of 1993, we estimate 9% of your KBA membership dues are not deductible as a business expense because they are allocable to lobbying expenditures. 91% of 2021 membership dues and 100% of section membership dues may be deductible as a business expense. Dues are not deductible as charitable contributions.