APPLICATION FOR MEMBERSHIP IN THE MACOMB COUNTY PROBATE BAR ASSOCIATION LEGAL SECRETARIES / LEGAL ASSISTANTS SECTION

I hereby make application for membership in the Macomb County Probate Bar Association Legal Secretaries / Legal Assistants Section and, if accepted, agree to abide by the By-Laws and Constitution thereof. I further understand and agree to the payment of membership dues at the rate of $25.00 per year, which shall be payable upon submission of this application.

Name of Applicant: ____________________________________________________

Address: (Work) _______________________________________________________

_______________________________________________________________________

Telephone: ____________________________________________________________

Facsimile: ____________________________________________________________

Address: (Home) _______________________________________________________

_______________________________________________________________________

Telephone: (Home) _____________________________________________________

Email Address: ________________________________________________________

Release information to MCPBA website member directory?   Yes   No

Date: ___________   Signature _________________________________________

Please return completed application with check in the amount of $25.00 made payable to MACOMB COUNTY PROBATE BAR ASSOCIATION and mail to:

PJ Tomlian / Administrative Assistant
77017 Omo Road
Armada, MI 48005

Revised: 01-09-06