THE LIBRARY COMPANY OF THE BALTIMORE BAR

100 N. Calvert Street
Room 618
Baltimore, Maryland 21202
Telephone: 410-727-0280
Telefax: 410-685-4791
E-Mail: jwbennett@barlib.org

Name (Mr./Ms.):_________________________________
Date Of Birth:_________________________________
Place Of Birth:_________________________________
Firm Name:_________________________________
Firm Address:_________________________________
_________________________________
Telephone:_________________________________
Telefax:_________________________________
E-Mail:_________________________________

Home Address:_________________________________
_________________________________
Telephone:_________________________________

I hold the following degrees:

Degree:__________College:____________________________Year:__________
Degree:__________College:____________________________Year:__________

I AM / AM NOT engaged in the active practice of law in:
City/County:____________________State:_______________
I was admitted to the Bar of the State of Maryland on:____________________
If first admitted to practice elsewhere than in Maryland, provide place and date of such admission:
Place:____________________Date:____________________
I am a member in good standing of the State Bar of Maryland:
Yes_______No_______

Annual dues are $200.00 for the 2007-2008 membership year. Make checks payable to the Baltimore Bar Library.