Bench-Bar Coalition
Membership Roster Contact Form
Please add me to the Bench-Bar Coalition membership roster:
¨ Mr. ¨ Ms. ¨ Hon.
Name: _________________________________________________________________
Title/Position (e.g., Judge, President, Liaison): __________________________________
Bar Association Category: ¨ Local ¨ Minority ¨ Specialty ¨ Women’s
Bar Association: __________________________________________________________
Law Firm/Court/Agency: ___________________________________________________
Address: ________________________________________________________________
City and Zip Code: ________________________________________________________
Phone: Fax: _______________________
E-mail address:_______________________________________________________________________
If you would like to have your secretary or assistant copied on BBC e-mails, please fill in this section:
Secretary/Assistant’s Name: ______________________________________________________
Secretary/Assistant’s E-mail: ______________________________________________________
Please return this form by e-mail or fax to Jenniffer Herman:
or
Fax: 916-323-4347
Judicial Council of California, Governmental Affairs
770 L Street, Suite 1240, Sacramento, CA 95814
Telephone: 916-323-3121