APPLICATION FOR MEMBERSHIP IN THE ADMINISTRATIVE LAW SECTION

I desire membership in the Administrative Law Section of the Virginia State Bar.

Name: ________________________________________________________

Firm: _________________________________________________________

Address: ______________________________________________________

City, State and Zip Code: _________________________________________

_____________________________________________________________

Enclose a check payable to VSB for annual dues in the amount of $20.00.

Mail to:

Virginia State Bar
Administrative Law Section
Eighth and Main Building
1111 East Main Street, Suite 700
Richmond, VA 23219-3565