James C. Cawood, Jr. Inn of Court
(formerly Paca Brent Joint Inns of Court)

MEMBERSHIP/RENEWAL FORM (2013-2014 Term)
Send to:  Jay Walsh, Treasurer
Mandel, Liff & Walsh, LLP
1906 Towne Centre Boulevard, Suite 270, Annapolis, Maryland  21401 
Phone: 410-269-6000 or 410-266-7655

1.	 Full Name: __________________________________________________________________
2.	 Preferred Name for Name Badge: ________________________________________________
3.	 Name of Firm or Place of Employment: ___________________________________________
4.	 Preferred mailing address: ______________________________________________________
5.	 Preferred billing address: _______________________________________________________
6.	Office Phone: _________________________ 	Fax: _________________________________
7.	 Home Phone*: ________________________
8.	 E-Mail Address: ______________________________________________________________
9.	 Year you joined the Inn: ________________ 	 9b.  Year admitted to bar:  _______________
10.	 Membership Category (circle one):		

	Master (more than 15 yrs. experience)		Barrister (3-15 yrs experience)

	Associate (fewer than 3 yrs. experience)		Pupil (3rd year law student)

11.	 Dues:	_______ Admitted to the Bar for more than 5 years…………………… $ 265.00
_______ Admitted to the Bar from 1 year to 5 years…………………... $ 195.00
_______ Admitted to the Bar for less than 1 year…………………….…. $ 95.00
_______ Law Clerks of the Bench and Pupil………………………….… $ 95.00

_______ Voluntary Contribution to Scholarship Program…………….… $ 25.00                         

Check No.: ________ Please make checks payable to “PBJ Inns of Court” and send to: Jay Walsh, Esq., Mandel, Liff & Walsh, LLP, 1906 Towne Centre Blvd., Suite 270, Annapolis, Maryland 21401.

12.	 Primary Occupation: _____________________________________________________
13.	 Areas of Law Concentration: _______________________________________________
14.	 Name of law school and year of graduation: ___________________________________
15.	 Masters: are you willing to serve as a pupilage team captain? _____________________
16.	 Masters and Barristers: are you willing to be a mentor for Inn members? ____________
17.	 Associates and Pupils: do you wish to be assigned a mentor in the Inn? _____________

* Only students’ home phone numbers will be published