One moment please...

Law Firm Membership Application

The Historical Society is a 501(c)(3) nonprofit organization independent of the Courts.

Organization Name

Annual Report Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Membership Donation

Thank you for your support for the Society! If you would like to make an additional donation, over and above your membership level, please type any amount in the available box below.

Amount

$1,500 - Friend

$3,000 - Partner

$5,000 - Benefactor

Firm Contact Information

Contact Name

Prefix

First Name

Last Name

Suffix

Verify Email

Phone

Add 3% to my total amount to help cover the payment processing fees