Central Florida Bankruptcy Law Association
Membership Application/Renewal and Dues Payment

New Member Renewal

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Name

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Firm Name

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Full Business Address

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Telephone

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Facsimile

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E-Mail Address

Membership Types and Fees

Regular Membership - Attorneys - $70 - I am a member in good standing of the Florida Bar or another state bar association.

Associate Membership - Non-Attorneys - $40 - By profession or occupation I appear in bankruptcy court, or otherwise participate in bankruptcy cases, or I am a paralegal employed by or associated with a regular member.

Affiliate Membership - Complimentary - I am an employee of the U.S. Trustee's office, the Clerk's office, or am a law clerk for a resident judge of the United States Bankruptcy Court for the Middle District of Florida, Orlando Division.

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Signature of Applicant

Please print this page and mail with payment to:

CFBLA
PO Box 2295
Orlando, FL 32802