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ORIGINAL                                                                                     Mod 1 Dec 2007




                                     Aronfeld Breakfast Club

                                Membership Contact Information

Name:______________________________________         Address:_____________________________________

City:______________________________                 State: ____________________________________

Business:____________________________               Cell: ____________________________________

Website: _____________________________              Email: __________________________________




Business Information
   Type of Practice :



   Are you a member of a local board or society?           Yes   No


   If yes, please indicate which local board or society:

   ____________________________________________________________________________________________

   Do you currently advertise? If yes, which medium?




   Whats your best referral source?

   Clients                 Lawyers            Friends              Organizations


   How may seminars do you attend a year?

   _________________________________________________________________________________

   Which seminar topic interests you most?



Aronfeld Trial Lawyers
                                                                       This form sheet is 100% recyclable
3132 Ponce de leon Blvd.
                                                                        Please use the proper recycle bin
Coral Gables, FL 33134
ORIGINAL                                                                                                                          Mod 1 Dec 2007




Personal Information :
Note: Attach resume or biography if available




 Undergrad School:                                                             Year



 Law School :                                                                    Year




Questionnaire:


Are you involved in any existing Charitable/Civic organizations that you currently support?




Are you involved with any volunteer organization?




                                          Authorization Agreement for Membership


  Aronfeld Trial Lawyers Breakfast Club reserves the right to decline an application for whatever reason, without recourse.

  This agreement will remain in effect until Aronfeld Trial Lawyers Breakfast club receives a written notice of
  cancellation from me or my law firm.

   Payment Information

   Will pay with a check



     Signature ______________________________________                              Date:________________________________




Aronfeld Trial Lawyers
                                                                                                            This form sheet is 100% recyclable
3132 Ponce de leon Blvd.
                                                                                                             Please use the proper recycle bin
Coral Gables, FL 33134
ORIGINAL                                         Mod 1 Dec 2007




Aronfeld Trial Lawyers
                           This form sheet is 100% recyclable
3132 Ponce de leon Blvd.
                            Please use the proper recycle bin
Coral Gables, FL 33134

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Breakfast Club Membership Application2

  • 1. ORIGINAL Mod 1 Dec 2007 Aronfeld Breakfast Club Membership Contact Information Name:______________________________________ Address:_____________________________________ City:______________________________ State: ____________________________________ Business:____________________________ Cell: ____________________________________ Website: _____________________________ Email: __________________________________ Business Information Type of Practice : Are you a member of a local board or society? Yes No If yes, please indicate which local board or society: ____________________________________________________________________________________________ Do you currently advertise? If yes, which medium? Whats your best referral source? Clients Lawyers Friends Organizations How may seminars do you attend a year? _________________________________________________________________________________ Which seminar topic interests you most? Aronfeld Trial Lawyers This form sheet is 100% recyclable 3132 Ponce de leon Blvd. Please use the proper recycle bin Coral Gables, FL 33134
  • 2. ORIGINAL Mod 1 Dec 2007 Personal Information : Note: Attach resume or biography if available Undergrad School: Year Law School : Year Questionnaire: Are you involved in any existing Charitable/Civic organizations that you currently support? Are you involved with any volunteer organization? Authorization Agreement for Membership Aronfeld Trial Lawyers Breakfast Club reserves the right to decline an application for whatever reason, without recourse. This agreement will remain in effect until Aronfeld Trial Lawyers Breakfast club receives a written notice of cancellation from me or my law firm. Payment Information Will pay with a check Signature ______________________________________ Date:________________________________ Aronfeld Trial Lawyers This form sheet is 100% recyclable 3132 Ponce de leon Blvd. Please use the proper recycle bin Coral Gables, FL 33134
  • 3. ORIGINAL Mod 1 Dec 2007 Aronfeld Trial Lawyers This form sheet is 100% recyclable 3132 Ponce de leon Blvd. Please use the proper recycle bin Coral Gables, FL 33134