ContractSeptember 25th, 2008
FiledSeptember 25th, 2008ATTORNEY REFERRAL SERVICE OF THE SAN FERNANDO VALLEY BAR ASSOCIATIONAPPLICATION AND AGREEMENT Please read this agreement completely and with care. There is a $25 non-refundable fee for the processing ofnew membership applications; please include payment with completed application. Panel membership is an individual membership, not a firm membership. Full Name ✔ New Member Membership Renewal Firm/Agency Website Primary Office Address City State Zip Alternative Office Address City State Zip Telephone No. Fax No. Client Toll-Free No. E-Mail Cell Phone No. (Optional) Home Phone No. (Optional) Firm Size:✔ Solo Practitioner 2-5 Attorneys 6-10 Attorneys 11-20 Attorneys 20+ Attorneys State Bar No. Date of California Bar Admission Certified Specialties Certified By Other States in which Admitted Year Admitted to Practice Before Other Tribunals and Jurisdictions Date of Admissions (federal courts, administrative agencies, etc.) Tel (818) 227-0490 20750 Ventura Blvd., Suite 140 www.s