COLLIN COUNTY CRIMINAL DEFENSE LAWYER’S (3CDLA)MEMBERSHIP APPLICATION 

¨  New Member ($100.00 annual dues)*

¨  Renewal ($100.00 annual dues)*

¨  Associate Member ($10.00 annual dues)*

¨  Law Student          Law School: ____________________________ 

¨  Are you a member of TCDLA? __________

¨  Are you a member of NACDL?  _________ 

¨Mr.        ¨Mrs.      ¨Ms. 

Name                                                                                                                                        

LawFirm                                                                                                                                                                            

Mailing Address:                                                                                                                    

Physical Address (if different)                                                                                                

City, State, Zip                                                                                                                      

Phone:                                                                           Fax:                                                      

Cell (not required)                                                        E-mail:                                                

Bar Card No.:                                                               Bar Card Date:                                     

 ¨ Certified Criminal Law Specialist 

I hereby apply for membership in the Collin Criminal Defense Lawyers Association and enclose $_________ as my annual dues for the year __________. 

Signature:                                                                                                               

Date:                                                                   

Nominating EndorsementAs a current member of 3CDLA, I believe the applicant to be a person of professional competency, integrity, and good moral character.  The applicant is licensed to practice law in Texas and is engaged in the defense of criminal cases, unless an associate member applicant. 

Signature of Member:                                                                                                                  __

Member’s Name (please print):                                                                                                       

*Please return your completed application and $100 membership fee to: 

CCCDLA

c/o Alyse Ferguson, Treasurer,

1001 20^th Street, Plano, Texas  75074

or via facsimile to 972.423.3447,

or scanned and e-mailed to Aferguson@stuckle-ferguson.com.