APPLICATION FOR MEMBERSHIP IN THE HUDSON INN OF COURT



1.Name __________________________________________



2. Date of admission to the New Jersey Bar _________________



3. Admitted in other jurisdictions? Yes_____ No_____

List states:



4. Are you presently in good standing in the jurisdictions in which you have been admitted?



Yes_____ No_____ If not, explain.





5.Homeaddress Number and Street___________________________________________



City, State and Zip _________________________________

Telephone Number____________________

6. Office Address _________________________________________

Name of Firm ______________________________________

Number and Street _________________________________

City, State, Zip_____________________________________

Telephone Number ____________________________

Fax No.______________________________________





E-mail address_________________________________



7. List the names and addresses of all firms with which you have practiced since your admission to the Bar. Include the dates of your association. If a single practitioner, so indicate.



8. Set forth a brief statement of your experience in litigated matters, indicating (a) jury trials; (b) non-jury trials; (c) administrative hearings; (d) arbitration proceedings, and (e) other as to each, list names of judges before whom you appeared and your adversaries. (Use rider if additional space is required.)



9. List your attendance at courses in trial practice and/or programs of study for trial attorneys which you have attended.





__________________________

Signature______________________________________

Date:____________________



Please return completed application before August 30, 2012 to:

Steven L. Menaker, Esq.
Chasan Leyner & Lamparello, PC
300 Harmon Meadow Boulevard
Secaucus, New Jersey 07094-362
Facsimile: 201/348-6633
E-mail Steven