IOWA ORGANIZATION OF WOMEN ATTORNEYS (I.O.W.A.) MEMBERSHIP FORM

please check one:       ___ July 2007 - July 2008        ____ July 2008-July 2009

NAME _______________________________________________________________________

JOB TITLE/POSITION _________________________________________________________

WORK ADDRESS _____________________________________________________________

_____________________________________________________________________________

WORK PHONE _____________________________  FAX: ____________________________

WORK E-MAIL _______________________________________________________________

HOME ADDRESS _____________________________________________________________

_____________________________________________________________________________

HOME PHONE _____________________________  FAX: ____________________________

LAW SCHOOL _______________________________________________________________

YEAR ADMITTED TO IOWA BAR ______________________________________________

OTHER BAR ADMISSIONS ____________________________________________________

AREAS OF PRACTICE ________________________________________________________

The above information will be listed in the printed membership directory unless you specify
otherwise.

Check one:  I prefer to receive I.O.W.A. mailings:  ___ at work            ___ at home

Optional:  I am interested in serving on the following committee(s):

            ___ Annual Meeting     ___ Continuing Legal Education            ___ISBA/Local Bar Liaison

            ___ Membership   ___ Newsletter        ___Public Relations      ___ Professional Action
_____________________________________________________________________________

DUES: ___ $35 Attorney        ___ $15 Current Year Bar Admittee       ___ $5 Law Student

Please complete this form and mail with dues payment (make check payable to I.O.W.A.) to:
I.O.W.A., P.O. Box 10098, Iowa City, IA  52240