#
 

KBA MEMBERSHIP FORM

***
Please fill out the following membership application completely. After you submit the information, you will be taken to the payment portion of the form, where you can pay your membership dues online via a secure server using your credit card.

If you have any questions, please call (785) 234-5696 or e-mail info@ksbar.org. Thank you, and welcome to the Kansas Bar Association!
 

A. Biographical Information

 

Full name (first, middle initial, last):

 

***

Informal name:

 

Supreme Court number:

 

Firm/Company/Agency name:

 

***

Street address:

 

***

P.O. Box

 

City, State, and Zip+4:

 

***

County:

#

E-mail address:

 

#

Telephone number: ****Fax number:

#

Male Female Birthdate:

 

Law school graduated from:

#

First year admitted to practice (to any state bar):

#

State in which first admitted to practice:

#

Year admitted to Kansas Bar (if different from above):

#

By entering your name in the following space, you give consent to receive faxes
and/or e-mails sent by or on behalf of the KBA and its subsidiaries:

#

Check here for automatic membership renewal; dues will be charged to your credit card annually.*

*By supplying the association with valid credit card information, you will receive a paid statement each year, rather than a dues invoice, showing the amount that will be charged to your credit card.

 

B. Practice Information

 

Primary practice - check only one
Private Practice
Corporate Law Department
Judge
Government
Legal Education
 Non-Law Related
Retired
Legal Services

Number of lawyers in your office:

 

C. Concentration Areas

 

Check all areas of concentration that best describe your practice:
Category Name:

Administrative Law
Agricultural Law
Alternative Dispute Resolution
Appellate Practice
Bankruptcy, Insolvency, and Reorganization
Civil Rights
Collections
Construction Law
Consumer Protection
Corporate Counsel
Corporation, Business, and Banking
Criminal Law Prosecution (all jurisdictions)
Criminal Law (public and private defense)
Criminal Law (indigent defense services)
Elder Law
Environmental Law
Family Law
General Practice
Health and Hospital Law
Insurance Law (Litigation)
Insurance Law (Regulatory)
Intellectual Property Law (patent, trademark, and copyright)
International Law
Labor and Employment Law
Litigation (commercial and business)
Litigation (general civil practice)
Municipal Law
Oil, Gas, and Mineral Law
Public Utility Law and Regulated Industries
Real Estate Law
School Law
Taxation
Tort and Personal Injury
Trade and Professional Associations
Trust, Estate Planning, and Probate
Workers' Compensation
 

***
Kansas Bar Association
1200 SW Harrison St., PO Box 1037, Topeka KS 66601-1037
Phone: 785-234-5696, Fax: 785-234-3813, E-mail: info@ksbar.org