Membership Application

General Information

Name:                                                                                                                

Firm/Organization/Law School:                                                                        
Mailing Address:                                                                                               

Phone Number:                                      
Fax Number:                                          

Email Address: _______________________

Date Admitted to Bar/Anticipated Graduation Date:                         

Areas of Practice (Optional):                                          

Membership Information

Membership Interests (indicate all that apply):

__ Networking  __ Mentorship __ CLEs __ Community Outreach __

Other:                                     

Are you interested in joining an NMHBA Committee? __ Yes __ No

If yes, what initiatives and efforts would you be interested in helping with through our committees?
___________________________________________________

Payment Information

Membership Dues Category:
___ Lifetime membership ($600) 

___ Attorney admitted to practice 11+ years ($85 yearly) 
___ Attorney admitted to practice 6-10 years ($60 yearly) 
___ Attorney admitted to practice 0-5 years ($30 yearly) 
___ Current Law Student (Free)

Note: Attorneys employed by the government or a non-profit organization may deduct 20% from their dues when paying by check only.

Additional Donation: $________________

Total Paid: $____________    Method: __ Check by Mail __ PayPal (click here)

________________________         ____________________

                 Signature                                           Date

Submit your application to New Mexico Hispanic Bar Association c/o State Bar of New Mexico, 5121 Masthead NE, Albuquerque, NM 87109