<p> The National Voice of the Hispanic Legal Community HNBA Membership Application</p><p>I. Please select the capacity in which you are applying for HNBA Membership. Select only one category.</p><p>Note: With the exception of “Legal Professional” and “Law Student,” membership categories refer to persons licensed to practice law and in good standing in any U.S. State, Puerto Rico, the District of Columbia, or U.S. territories.</p><p>Benjamin Aranda Lifetime Member </p><p>One-time fee of $5,000 Six monthly installments of $1,000 each ($6,000 total) </p><p>Attorney.</p><p>Corporate Counsel or Lawyers in law firms with more than (10) lawyers</p><p>$100/year for lawyers who were first licensed by a bar 2-5 years ago $150/year for lawyers who were first licensed by a bar 6-10 years ago $200/year for lawyers who were first licensed by a bar 11+ years ago</p><p>Solo Practitioners, Lawyers in law firms with less than (10) lawyers, Government Lawyers or Lawyers in Public Service</p><p>$75/year for lawyers who were first licensed by a bar 2-10 years ago $100/year for lawyers who were first licensed by a bar 11+ years ago $125/year for lawyers who were first licensed by a bar 20+ years ago</p><p>First Year Attorney (membership is free) </p><p>Affiliate Attorney ($50/yr) </p><p>State the name of the HNBA Affiliate Organization of which you are presently a member: ______</p><p>ABA Member ($50/yr) </p><p>Foreign Attorney ($75/yr)</p><p>Judicial Member</p><p>$25.00 for judges on the bench 1-5 years $50.00 for judge on the bench 6+ years $25.00 for retired judges</p><p>Legal Professional ($20/yr) – A person qualified through education, training or work experience, not duly licensed to practice law, employed or retained by a lawyer, law office, or corporation. 2017 HNBA Regular Membership Application Law Student (membership is free) – A person enrolled in a school of law as candidate for a law degree or a law school graduate not duly licensed to practice law.</p><p>The National Voice of the Hispanic Legal Community</p><p>II. Personal Information</p><p>Name: </p><p>Date of Birth: Gender: Male Female</p><p>Address: </p><p>Home Tel: Cell: Fax: </p><p>E-mail: </p><p>*This will be your HNBA Account username. Your e-mail address will only be used within HNBA. HNBA does not sell or rent e-mail addresses to anyone outside of the HNBA.</p><p>Undergraduate School: </p><p>Undergraduate Degree and Areas(s) of Study: </p><p>Law School: Graduation Year: </p><p>*Password (this will be your HNBA account password): </p><p>III. Professional or School Contact Information</p><p>Name of Employer or School (if student): </p><p>Title: Nature of Business: </p><p>Address: </p><p>Work Tel: Fax: E-mail: E-mail address will only be used within HNBA. HNBA does not sell or rent e-mail addresses to any external sources.</p><p>IV. Certification Are you currently licensed to practice law of a bar of a state, commonwealth, U.S. territory or possession or the District of Columbia? The HNBA reserves the right to verify bar admission.</p><p>2017 HNBA Regular Membership Application Yes No State(s) of Admission: Date of Admission: </p><p>V. Practice setting: Which setting best describes your working environment? (please check one)</p><p>Academia Law firm Government In-House Non-Profit Military Other: </p><p>VI. Bill my credit card AMEX Master Card Visa</p><p>Credit card number: Security code: Expiration date: </p><p>Signature Authorization: </p><p>VII. Automatic renewal. May we bill future HNBA dues renewals to your credit card? Yes No</p><p>2017 HNBA Regular Membership Application</p>