Please complete the membership application and mail payments to the D.W. Perkins Bar Association, Inc. at P.O. Box 2156, Jacksonville, Florida 32203-2156. The goal of the D.W. Perkins Bar is to create a directory that will include contact information of our members. Please include the contact and practice information that you would like included in the directory. Also, select a committee or committees of interest. 

* 1. What is your full name?

* 2. What is your title?

* 3. Identify the name of your employer or law school.

* 4. What is your business address, phone number, and email address?

* 5. What are your areas of practice? If you are a law student, list practice areas of interest.

* 6. Identify states where you are admitted to practice law.

* 7. Identify your law school and year of graduation.

* 8. Which committees are of interest?

* 9. Would you like to be involved in a mentorship program?

* 10. Annual Dues
Please send your dues payment in the appropriate amount to:
D.W. Perkins Bar Association, Inc.
P.O. Box 2156
Jacksonville, Florida 32203-2156