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NORTHWEST FLORIDA PARALEGAL ASSOCIATION
MEMBERSHIP RENEWAL
2000-2001

Name: _____________________________________________________________

Home Address: ______________________________________________________

Home Phone Number: ________________________________________________

Employer’s Name: ___________________________________________________

Attorney: __________________________________________________________

Work Address: ______________________________________________________

Work Phone Number: _________________________________________________

E-Mail Address: _____________________________________________________

Specialty: __________________________________________________________

Education: __________________________________________________________

Active Member ____________ Student Member ____________

   

PLEASE RETURN COMPLETED FOR TO
DEBBIE SHALLY, TREASURER
AT BOZEMAN, JENKINS & MATTHEWS
WITH ANNUAL DUES

Active Membership - $40.00
Student Membership - $20.00