Check: _____ NEW MEMBER _____ RENEWAL

NAME:

HOME ADDRESS:

CITY/STATE/ZIP:

HOME TELEPHONE NO.:

EMPLOYER:

ADDRESS:

CITY/STATE/ZIP:

BUSINESS TELEPHONE NO.:

E-MAIL ADDRESS:

MAIL TO: _____ OFFICE _____ HOME

Paralegal Program attended:
Graduation Date:
Education Degree:

Check Type of Membership Desired:

______VOTING - $60.00/year
______ASSOCIATE (Non-voting) - $40.00/year
______STUDENT (Non-voting) - $35.00/year
______SUSTAINING (Non-voting) - $100.00/year
If Sustaining Member, please indicate name of
Contact Person:

_____I would _____I would not like to be included in the membership directory

The information provided herein is true and correct to the best of my knowledge.

Make checks payable to CAP.
(There will be a $25.00 charge for checks returned by the bank of insufficient funds.)

Signature _____________________________Date ______________

Contributions or gifts to CAP are not deductible as charitable contributions for federal tax purposes. Dues payments by members are deductible as an ordinary and necessary business expense.

All Voting and Non-Voting members may chair or be a member of any CAP committee. PLEASE CLICK HERE TO SEE DESCRIPTION REGARDING CURRENT COMMITTEES and indicate your interest in a committee by checking the appropriate box. Your name will be forwarded to the current committee chair.

____Programs	____Job Bank	____Pro Bono
____Newsletter	____Membership	____Publicity
____Bar Association Liaison	____Nominating Committee	____Survey
____By-Laws/Corporate	____Paralegal School Liaison	____Professional Development
____Continuing Education

I would like to chair this committee:

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Paralegal issues I would like to hear more about:

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Please give us the name and address of an individual who may be interested in becoming a member of CAP:

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