LAKE COUNTY BAR ASSOCIATION

ATTORNEY LISTING REQUEST

This form is for lawyers only. Please complete as much information as might apply to you. Please indicate if you wish to be included in our public listing by checking the box below. Currently, annual dues are $10.00 per year. Collection has been indifferent. You may be contacted for payment if anyone decides the Lake County Bar Association need additional funds.

Name:
State Bar No.:
Business Address:
Phone Number:
Email address:
Per Cent of Practice in Lake County:
 Indicate a Percentage(%)
Active Lake Bar Member?:
 Check box if you are a current member.
Website listing:
Suggestions
Agree:
By checking here you are indicating that you are authorizing LCBA to include the above information in your public listing.

Lake County is located at the northern end of Highway 29 in beautiful Northern California