MEMBERSHIP

MEMBERSHIP APPLICATION/DUES FORM

DATE:____________________________________________________________________________________

NAME: ___________________________________________________________________________________

JUSTICE YOU WORK WITH:_________________________________________________________________

WORK ADDRESS: _________________________________________________________________________

COUNTY:_________________________________________________________________________________

OFFICE PHONE #:_________________________________________________________________________

OFFICE E-MAIL:___________________________________________________________________________

PREFERRED E-MAIL & PHONE #:____________________________________________________________

ANNUAL DUES: $40.00 Principal Law Clerks

$25.00 Assistant Law Clerks

You may also mail this form with a check made out to the "Association of Law Secretaries" in the amount of $40.00/$25.00 to:

Steven Helfont, Esq.

c/o Office of Court Administration

Division of Policy & Planning

25 Beaver Street, Room 1013

New York, New York 10004

The Association of Law Secretaries to the Justices

of the Supreme and Surrogate’s Courts in the

City of New York