WBAMD - New Member Application

2026-2027

For use only if primary fails.
Mailing Address differs from Employer
Employer Address
Areas of Practice

State Dues

Please note that membership in the WBA starts July 1st and ends June 30th.

Please select your membership type.
State Dues
Benefactor – Recognition at the Annual Meeting
Sustaining Member – Program acknowledgement at Annual Meeting
Do you want to join Local Chapter?
Please note that chapter dues are to be paid in addition to state dues. You must belong to the state WBA to join a chapter.
Attorney Referral List
The WBA is in the process of creating an attorney referral list for the various practice areas. Would you be interested in being on the list with the areas of practice you designated on this form?
WBA Email List
I wish to be added to the WBA Email List to receive notifications about upcoming events.
Payment Options
Credit Card (Stripe) is handled from this form.
Law Pay & Check payment details are provided after this form is submitted