Diversity Circle - Membership Application

I want to become a member of the Diversity Circle of the Cleveland Metropolitan Bar Association and support diversity initiatives and other outreach programs.

I understand that, by joining now, I will be recognized as a member through June of 2008.

Fill out the following online application form completely to become a member of the Diversity Circle. If you have any questions, please call the Cleveland Metropolitan Bar Association at 216-696-3525, Ext. 2002. Or print this screen, fill out the form and mail or fax it with a check or credit card information to:


The Cleveland Metropolitan Bar Association
PO Box 931873
Cleveland, OH 44193
Fax (216) 696-2413

Diversity Circle Membership - $100.00
Diversity Circle Membership - $75.00 (attorneys practicing 5 years or less or affiliate members)
Title
First Name
Middle Name
Last Name
Ohio Supreme Court registration number:
Year of admission to your first bar
(if other than the Ohio bar)
In what state is this registration?
Billing Address
City State
Zip Code

Visa MasterCard Discover American Express

Credit Card Information
(Fill out only if you are paying by credit card)
Credit Card #:
Exp. Date:
Name on Credit Card:

Dues payments to the Association may be deductible by members as an ordinary and necessary business expense.**