Membership Registration and Pay Dues

I hereby submit my application for membership in the Lawyer-Pilots Bar Association and pay herewith the sum of $119.00 to cover the payment of dues to June 30th 2010, which includes a subscription to the LPBA Journal. I do agree to abide by the by-laws and rules of the Association.

Last Name*

First Name*

Office Phone*

Email*

Method of Payment*

New member

Existing member

	Membership Type
	Voting Member	Membership available to all persons duty licensed to practice law and who possess or have held a airman's certificate for piloting of aircraft (Lawyer / Pilot)
	Non-Voting Member	Membership available to all persons duty licensed to practice law and who have an interest in aviation safety and aviation law. (Lawyer / Non-Pilot)
	Student Member	Membership available to students enrolled in and currently attending a law school who have demonstrated an interest in aviation. Non-Voting. (Student / Pilot). I am attending:
	Associate	Available to all persons who have an interest in aviation safety or aviation law. Non-Voting
	Patron	Available to all persons, firms, or corporations contributing to the financial support of this Association's efforts to enhance aviation safety, Non-Voting

For Your Membership Record – Please Update The Information Below If You Have Any Changes

Firm Name

Office Address

Cell Phone

Fax

Residence Phone

Spouse Name

Year Admitted to Bar

Bar Memberships

Areas of Practice

Airman Ratings

Total Time

Airplane Owned or Usually Operated

N Number

Referred By

*Required fields

If you chose to pay with credit card: the payment will be processed securely through PayPal. In the next page click on "Use your credit card or bank account (where available). Continue" on the left side to pay with a credit card.

Membership Registration and Pay Dues

For Your Membership Record – Please Update The Information Below If You Have Any Changes

Jump to

Search in LPBA.org