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L e G a L 2004

MEMBERSHIP FORM

Name

Law School/Graduation Date

Home Address

Work Address

Where should we send mail to? Home   Work

E-mail

Home Phone/Fax

Business Phone/Fax

Membership Category:

Lawyer Law Graduate  

Legal Assistant Law Student

Non-Resident Member*

Can we include your name and relevant information in our membership directory?    Yes             No

YES, renew my membership in LeGaL for 2004.  Enclosed is my check covering my membership dues based on the following shedule.

Dues are based on annual income

up to $30,000 - $35                up to $50,000 - $50

up to $75,000 - $75                up to $75,000 - $100

Over $100,000 - $125

Sustaining member - $150    2-Year Sustaining member - $225

Non-resident Member - $50 (Admitted to practice law and not in residence in the New York City metropolitan area)

Law Student - $25 ($20 for e-mail delivery only)

Your dues rate                                             $                                     

Your tax deductible contribution to

the LeGaL Foundation   (Thank You!)          $                                     

                Total Payable to LeGaL             $                                      

I want to help LeGaL save on printing and postage by receiving mail by e-mail.

I do not want to receive Lesbian and Gay Law Notes.

LeGaL cannot currently process online payments.   To submit, fill in and print out this form.  Please make your check payable to "LeGaL".  Send this form with check to LeGaL, 799 Broadway, Suite 340, New York, NY 10003

*Any person who is admitted to practice law and is not a resident in the New York metropolitan region may not vote.

**The LeGaL Foundation conducts public service activities, many of which were formerly conducted by LeGaL. It is independent of and not funded by LeGaL. Contributions to the LeGaL Foundation are tax deductible.

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Copyright © 1998 Lesbian and Gay Law Association of Greater New York, Inc.

Last modified: May 23, 2004-->