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Membership Form

SUNNYVALE-CUPERTINO BAR ASSOCIATION

MEMBERSHIP DUES STATEMENT

DUES FOR 2017: $95.00

Please mail this completed form along with a check payable to “Sunnyvale-Cupertino Bar Association" to:

SCBA

Attn: Nancy McHenery

438 South Murphy Avenue
Sunnyvale, CA 94086

tel: 408-245-3000 fax: 408-732-0709  

NAME: ______________________________________________________

LAW FIRM NAME: _____________________________________________

STREET ADDRESS: ___________________________________________

CITY/STATE/ZIP: ______________________________________________

TELEPHONE: _________________________________________________

FAX NUMBER: ________________________________________________

E-MAIL ADDRESS: ____________________________________________

WEBSITE: ___________________________________________________

Please list all areas of practice you wish to be listed under:

1.____________________________________________

2.____________________________________________

3.____________________________________________

4.____________________________________________

5.____________________________________________

6.____________________________________________

7.____________________________________________

(If you have any questions, please contact the Bar Association Secretary, Nancy McHenery, at 408-245-3000)