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“Dedicated to improving the quality of life in our community by inspiring excellence in the practice of law” 1960 - 2007 Celebrating over 46 years of service to attorneys and the community. Northwest Suburban Bar Association Northwest Suburban Bar Association Foundation Northwest Suburban Bar Association, Attorney Referral Service 800 E. Northwest Highway, Suite 418 Palatine, IL 60074 Administration Office: 847-221-2601 Facsimile: 847-221-2844 Attorney Referral Service: 847-221-2681 Thank you for your interest in joining the Northwest Suburban Bar Association (NWSBA). Enclosed are several of our publications, including a copy of our monthly newsletter, NEWSBRIEFS, which contains informative materials regarding programs of the Association, our New Member Information Packet, and an application for membership. The NWSBA is made up of over 650 attorneys and associates who live or work in the northwest suburbs. The NWSBA is one of the state’s largest bar associations and this is attributable primarily to our lawyer referral plan and the numerous and innovative activities available for our members to participate in. The lawyer referral service permits an attorney to select areas of law from which he or she desires referral. Prospective clients are referred to members on a rotating basis. Last year we forwarded over 1,800 referrals to our members. The social functions include monthly dinner meetings, annual Installation Dinner, Golf Outing, and Judges’ Night. The Association has numerous committee meetings sponsored by our substantive law committees such as Criminal, Probate, Real Estate and Family Law. Educational seminars are coordinated by the Continuing Legal Education Committee and are offered locally September through May, at a reasonable price. The Northwest Suburban Bar Association Foundation serves as our outreach into the suburban community. Currently, it offers scholarships to deserving students in the northwest suburban area and addresses other needs as they arise. There are many opportunities for you to be an active member of the Association. The Association constantly seeks out members who wish to be involved in activities and especially those who express an interest to assume leadership roles. Your ideas for improving the Association are always welcome. We look forward to receiving your application. Association office if you have additional questions. Sincerely yours, Please feel free to call the NWSBA THE NWSBA Established in 1960, this volunteer bar organization has grown to a membership of over 650 attorneys, judges and associate members and continues to grow. The NWSBA is: Dedicated to improving the quality of life in our community by inspiring excellence in the practice of law. We are a source of information to the legal and non-legal communities for the northwest suburbs. We have a myriad of programs, including the Attorney Referral Service, Continuing Legal Education, and our involvement in various charitable functions. The NWSBA is proud to be a part of the life of the suburban attorney. PROGRAMS OF THE NWSBA • • Attorney Referral Service - Expand your practice. The Attorney Referral Service helps area residents locate an attorney that is suitable for their need. Pro Se Court - One of our charitable acts. The program is designed to assist individuals with completing forms and answering questions at the Third Municpal District Courthouse in Rolling Meadows. Continuing Legal Education - The NWSBA has 8-10 seminars per season, helping attorneys obtain the needed ten (10) mandatory hours per year now required by the state of Illinois. Our seminars will accommodate attorneys who are new in the field or have been practicing for many years. Monthly Dinner Meetings - Encourages camaraderie among the membership and offers a source to network. Judicial Screeening - To invite Judicial Candidates to be investigated, screened and be evaluated. Judges’ Night - Annual get together with members and the judiciary. Senior Day - Another charitable act of the NWSBA. The program is to help senior citizens with some legal questions regarding estates, trusts, wills, etc. It is in conjunction with School District 214. Northwest Suburban Bar Association Foundation - The Foundation was established to give away scholarships to Law School Students and Paralegal Students. Law Day - The NWSBA participates in Law Day, and our Law Day Chairperson coordinates programs. The programs range from Ask A Lawyer Day to Open House at the Third Municipal District. Newsbriefs - Official Publication of the NWSBA. Golf Outing - Enjoy a day of golf and dinner with friends. PUBLIC ACCESS DIRECTORY—Advertising on the NWSBA web site. Facilitator Program @ Third Municipal District In Court Referral Program at the Third Municipal District • • • • • • • • • • • • B O A R D Adra Campbell (President) 121 S. Wilke Road, Suite 201 Arlington Heights, IL 60005 Phone (847) 670-9100 Fax (847) 398-8377 adra@adracampbell.com Angela Peters (Exec. VP.) 3325 N. Arlington Heights Rd Suite 500 Arlington Heights, IL 60004 Phone (847) 222-9429 Fax (847) 253-1904 angela@aepbuffalo.com Richard Miller (1st VP) 515 E. Golf Rd., Ste. 204 Arlington Heights, IL 60005 Phone (847) 981-9190 Fax (847) 981-1770 rpmlaw@sbcglobal.net Scott Barber (2nd VP) 1834 Walden Office Square Suite 500 Schaumburg, IL 60173 Phone (847) 303-0107 Fax (847) 303-6621 sdb@rbsslaw.com Lee DeWald (Treasurer) 1237 S. Arlington Heights Rd. Arlington Heights, IL 60005 Phone (847) 437-0303 Fax (847) 437-0330 ldewald@riebandtanddewald.com Nicholas Giordano (2009) 1111 S. Prospect Park Ridge, IL 60068 Phone (847) 825-8855 Fax (847) 825-8856 law@ncgesq.com Marty Glink (2007) 3345 N. Arlington Heights Road Suite G Arlington Heights, IL 60005 Phone (847) 394-4900 Fax (847) 394-1521 Glinklaw@aol.com Miriam Cooper (2009) 1450 E. American, Suite 1925 Schaumburg, IL 60173 T-847-995-8800 F-847-995-8800 Mcooper@mcooperlaw.com Neil Good (2008) 800 E. Northwest Hwy, #814 Palatine, IL 60067 Phone (847) 577-4476 Fax (847) 934-7292 neil@neilgood.com Andrew Haber (2008) 835 N. Sterling Ave., # 100 Palatine, IL 60067 Phone (847) 934-0060 Fax (847) 934-6899 ahaber@favarogorman.com Thomas J. Kolodz (2008) 835 Sterling Ave. Palatine, IL 60067 Phone (847) 358-0041 Fax (847) 358-1140 tntatty@aol.com Michael A. Meschino (2008) 800 E. Northwest Highway,503 Palatine, IL 60067 Phone (847) 991-7090 Fax (847) 991-7590 mikedsl@ameritech.net Daniel Robin (2008) 121 S. Wilke Rd., Ste. 201 Arlington Heights, IL 60005 Phone (847) 670-9100 Fax (847) 398-8377 danatlaw@aol.com John Lombardi (2009) 6815 Madison Niles, IL 60714 Phone (847) 204-3088 jlombard3408@netscape.net Hon. Thomas Roti (2009) 2121 Euclid Ave. Rolling Meadows, IL 60008 Phone (847) 818-2287 Fax (847) 818-2766 tdroti@comcast.net Thomas J. Ahern (Past Pres.) 1931 Rohlwing Road, Suite D Rolling Meadows, IL 60008 Phone (847) 392-6500 Fax (847) 392-6502 tom@ahernlaw.net Parliamentarian Jackie LeFevre 217 S. Emerson Mt. Prospect, IL 60056 T – 847-533-5225 F – 847-533-5225 Thejackll@ameritech.net Association Attorney Martin Kelley 1535 W. Schaumburg Road Schaumburg, IL 60194 Phone (847) 895-9151 Fax (847) 895-7310 Executive Director M. Lise Jinno 800 E. Northwest Hwy Ste 418 Palatine, IL 60074 Phone (847) 221-2601 Fax (847) 221-2681 nwsba@sbcglobal.net OF G O V E N O R S Donald J. Cosley (Secretary) 1931 Rohlwing Road, Suite D Rolling Meadows, IL 60008 Phone (847) 253-3100 Fax (847) 253-3434 doncosley@sbcglobal.net Patricia G. Cartwright (2007) 1834 Walden Office Square Suite 500 Schaumburg, IL 60173 Phone (847) 303-0107 Fax (847) 303-6621 pgcartwright@hotmail.com Elizabeth Fogerty (2008) 29 S. LaSalle Street Suite 736 Chicago, IL 60603 Phone (312) 685-4529 Fax (312) 658-0877 Practice Resource and Technology Committee: Mr. Rafi Arbel 940 Wayne Ave. Deerfield, IL 60015 T-312-925-8300 F-847-745-0488 Rafi.arbel@westgroup.com Jeff McDonald 1029 S. Pine Ave. Arlington Heights, IL 60005 T-847-698-9600 F-847-698-9624 Jmcdonald@dimonteandlizak. com Women in Law: Patricia Cartwright Law Office of John R. Buczyna 1450 E. American, Suite 1925 Schaumburg, IL 60173 T-847-969-9100 F-847-969-9105 Pgcartwright@aol.com Law Day: Mimi Cooper 1450 E. American, Suite 1925 Schaumburg, IL 60173 T-847-969-9100 F-847-969-9105 Mcooper@mcooperlaw.com Tom Glasgow 1834 Walden Office Square Suite 500 Schaumburg, IL 60173 T-847-654-0650 F-847-654-0520 Dinner Meetings: Angela Peters 3325 N. Arlington Heights Rd Suite 500 Arlington Heights, IL 60004 Phone (847) 222-9429 Fax (847) 253-1904 E-Mail: aepbuffalo@aol.com F-847-222-0660 Kruneslaw@aol.com Membership: Nicholas J. Lagattuta 1515 Woodfield Rd. # 880 Schaumburg, IL 60173 T-847-240-5500 F-847-240-5825 Joel De Grazia 1515 Woodfield Rd. # 880 Schaumburg, IL 60173 T-847-240-5500 F-847-240-5825 Continuing Legal Education: Cary A. Lind 121 S. Wilke Road, Suite 407 Arlington Heights, IL 60005 T-847-577-0030 F-847-577-0854 Jerome McSherry 121 S. Wilke Road, Suite 407 Arlington Heights, IL 60005 T-847-253-7006 F-847-253-7009 Fng147@aol.com Judicial Screening: John Rocco Lombardi 6815 Madison Niles, IL 60714 T-847-818-2326 F-847-818-2323 Joseph M. Etchingham 425 Creekside Drive Palatine, IL 60067 T-847-358-9400 F-847-358-9402 T-847-806-6455 F-847-806-6465 Rjs@schumannlaw.com Newsbriefs: Nancy S. Scotillo 121 S. Wilke Road, Suite 500 Arlington Heights, IL 60005 T-847-590-9700 F-847-590-9825 Intellectual Property: Jeffrey S. Wilson Wilson & Associates 1821 Walden Square, Suite 400 Schaumburg, IL 60173 T-847-303-0737 F-847-303-0971 Civil Litigation: Judge Thomas Roti 2121 Euclid Ave. Rolling Meadows, IL 60008 T-847-818-2287 F-847-818-2766 Robert Riffner 1834 Walden Office Square, # 500 Schaumburg, IL 60173 T-847-303-0107 F-847-303-6621 Referral Service: Donald Cosley 1931 Rohlwing Road, Suite C Rolling Meadows, IL 60008 T-847-253-3100 F-847-253-3434 Doncosley@sbcglobal.net Public Relations Committee: Neil Good 800 E. Northwest Highway Suite 814 Palatine, IL 60067 T-847-577-4476 F-847-934-7292 Michael Meschino 800 E. Northwest Highway Suite 503 Palatine, IL 60067 T-847-991-7090 F-847-991-7590 Mikedsl@ameritech.net C O M M I T T E E S Bench Bar Relations: Judge James Etchingham 2121 Euclid Ave. Rolling Meadows, IL 60008 T-847-818-2287 F-847-818-2766 Young Lawyers/Mentors: Jay Andrew 1237 S. Arlington Heights Rd Arlington Heights, IL 60005 T-847-437-0303 F-847-437-0330 Jandrew@riebandtanddewald. com Judge John D Tourtelot 500 Cutter's Mill LN. Schaumburg, IL 60194 T-312-341-2824 Daniel K. Robin 121 S. Wilke Road, Suite 200 Arlington Heights, IL 60005 T-847-670-9100 F-847-398-8377 Employment Law: Andrew Haber Favaro and Gorman 835 N. Sterling Ave., #100 Palatine, IL 60067 Deborah Bussert 404 Olive Ave. Prospect Heights, IL 60007 847-259-4701 Matrimonial Law: Anthony Calzaretta 1626 Colonial Parkway Inverness, IL 60067 T-847-359-0010 F-847-359-0011 Acalzaretta@aol.com Anna Bush 18-3 Dundee Road, Suite 210 Barrington, IL 60010 T-847-382-4560 F-847-382-0836 Judge Sam Betar 2121 Euclid Ave. Rolling Meadows, IL 60008 T-847-818-2287 F-847-818-2766 Pro Se Court: Martin Kelley 1535 W. Schaumburg Road Schaumburg, IL 60194 T-847-895-9151 F-847-895-7310 Debtor/Creditor Rights: Kenneth Runes 800 W. Central Road, Suite 104 Mt. Prospect, IL 60056 T-847-222-0600 Holiday Party: Judge Thomas Fecarotta 2121 Euclid Ave. Rolling Meadows, IL 60008 T-847-818-2287 F-847-818-2766 Nichole Waltz 1834 Walden Office Square, # 500 Schaumburg, IL 60173 T-847-654-0650 F-847-654-0520 Tom Glasgow 1834 Walden Office Square, # 500 Schaumburg, IL 60173 T-847-654-0650 F-847-654-0520 Past Presidents: Doug Judson 132 W. Northwest Highway Arlington Heights, IL 60004 T-847-577-5800 F-847-577-5869 Lawofc@judson.com Mock Trial: Jay Andrew Riebandt & DeWald, P.C. 1237 S. Arlington Heights Rd Arlington Heights, IL 60005 T-847-437-0303 F-847-437-0330 jandrew@riebandtanddewald. com Neil H. Good Attoney at Law 800 E. Northwest Highway Suite 814 Palatine, IL 60067 T-847-577-4476 F-847-963-2340 Judges’ Night: Marty Glink 3345 N. Arlington Heights Road, Suite G Arlington Heights, IL 60004 T-847-394-4900 F- 847-394-1521 Donald J. Cosley 1931 Rohlwing Road, Suite C Rolling Meadows, IL 60008 T-847-253-3100 F-847-253-3434 Doncosley@sbcglobal.net Golf Outing: Joel De Grazia 1515 Woodfield Rd. # 880 Schaumburg, IL 60173 T-847-240-5500 F-847-240-5825 Nicholas J. Lagattuta 1515 Woodfield Rd. # 880 Schaumburg, IL 60173 T-847-240-5500 F-847-240-5825 Nicholas Giordano 1111 S. Prospect Park Ridge, IL 60068 Phone (847) 825-8855 Fax (847) 825-8856 Estate Planning: Richard P. Miller 515 E. Golf Road, Suite 204 Arlington Heights, IL 60005 T-847-981-9190 F-847-981-1770 Criminal Law: Thomas J. Kolodz Law Offices of Thomas Kolodz 835 N. Sterling Ave. Suite 215 Palatine, IL 60067-2200 T-847-358-0041 F-847-358-1140 Tntatty@aol.com Nominating Committee: Judge Alfred Levinson 2121 Euclid Ave. Rolling Meadows, IL 60008 T-847-818-2287 F-847-818-2766 Real Estate: Ralph J. Schumann 901 Biesterfield Road, Suite 103 Elk Grove Village, IL 60007-3393 Classification: Regular Member— Any person admitted to practice law in the State of Illinois and in good standing, and any current or retired member of the Judiciary of the State of Illinois. Refer to Dues schedule for member fee. Name: Firm Name: Office Address: Office Telephone Number: Facsimile Number: E-Mail: Date of Birth: Residence Address: I speak the following language(s): (Conduct Business in this language) Attorney Registration Number (ARDC)_______________________ Law School: Year Admitted to Illinois Bar: Federal Trial Bar: Fields of Concentration: Other Jurisdictions: Year: Web Address: Personal Information: I am interested in being active in the following Committees: Civil Litigation Criminal Law Employment Law Golf Outing Judicial Screening Newsbriefs Women in Law Referral Service Continuing Legal Education Debtor/Creditor Estate Planning/Tax/Probate Intellectual Property Law Office Management Pro Se Court Young Lawyers Web Site Corporate/Business Dinner Meeting Membership Bench/Bar Relations Matrimonial Law Real Estate Law Speakers Bureau Volunteer For These Very Important Programs Court Facilitator Program: A unique program to the Third Municipal District. Volunteer on Tuesdays and Thursdays from 10:00 a.m to noon (date will be assigned by administrative staff of the NWSBA) to assist the Domestic Relations judges in reaching an agreement on a pending dispute. Pro Se Court: Volunteer to assist Pro Se Court/Small Claims litigants with their questions regarding preparation of documents and to answer general questions regarding your small claim court case. The desk is only open on Friday afternoons from 1:00 p.m. to 4:00 p.m. or until the last court call is done (3:30 p.m. or 4:00 p.m.) outside of room 206. (date will be assigned by administrative staff of the NWSBA). Attorney Referral Service: I desire to be in the Attorney Referral Service Program. I carry the following Professional Liability Insurance. (This information must be complete before we can activate your ARS Membership. Please include a copy of your declaration page of your insurance policy.) Name of Company: Policy Number: Coverage Amount: If Referral Address differs from Office Address, please let us know. Basic package includes three categories for $65.00. Each additional category is $10.00; maximum of two per six month period. See following page for category selection Please note: Many referrals are requested and made on a geographic basis. You must select the area from which you will take referrals and in which you are willing to consult with applicants. No attorney taking referrals in any geographic area shall require that the applicant meet him outside the geographic area. Public Access Directory—Promote Your Business on the World Wide Web Basic package two groups for $60.00, each additional category is $10.00 We have set up a program for you called the Public Access Attorney, which is a free on-line service for internet users to help them find the right attorney. Individuals who visit our site can find an attorney, by choosing the law category that best suits their needs. Joining the Public Access Directory: 1. Lists your name, address, phone number and includes a free link to potential clients to your web site; 2. The list is accessible by Attorneys from other States 3. The ideal way to increase your business. Public Access Directory Registration Information: Name: Address: Phone Number E-Mail Address: Web Address: Fax Number: NORTHWEST SUBURBAN BAR ASSOCIATION ATTORNEY REFERRAL SERVICE PROCEDURE AND GUIDELINES To Join the Referral Service: A T T O R N E Y R E F E R R A L S E R V I C E Request application forms from the NWSBA Office, 800 E. Northwest Hwy, Suite 418, Palatine, IL 60074 (847) 221-2601. Mail completed forms to the office with appropriate membership dues. Include information about practice history, copy of malpractice insurance coverage binder, and areas of permitted by the application form. Referral Service attorneys must provide copies of the first page of their malpractice insurance on an annual basis to the LRS, at the time of renewal of the malpractice insurance. Referral attorneys will need to notify the NWSBA Office of any changes in practice history. The NWSBA staff, sends by facsimile referral attorneys written confirmations of each potential client referred. Attorneys must remit to NWSBA the $25.00 fee for each initial consultation. Failure to so remit shall be referred to the next regular meeting of the Referral Committee for consideration. Procedure for Handling Referral Requests: Potential clients call the NWSBA office, obtaining the number through NWSBA advertising or otherwise. Office staff screens the calls, determining the area of practice required to handle the matter and the geographic area from which the caller prefers his/her attorney. Then, the next attorney on the referral list for that area of practice and the geographical area is given to the referral. The attorney’s name, address, phone number and additional information from the application forms are given as requested. The staffer informs the caller that the fee for the initial office consultation of up to ½ hour is $25.00. The staffer then obtains the caller’s name, address. This information is sent by fax to the attorney as soon as possible. If the potential client calls the referral attorney’s office, the referral attorney handles the client in the same manner as any other client with these restrictions: The fee for the initial office consultation fee of up to ½ hour is $25. 00. If the referral attorney and client wish to proceed beyond this initial consultation, the referral attorney will charge his or her normal rates upon advance notification to the client. If the referral attorney wishes to associate with co-counsel, the referral attorney must retain primary responsibility for the matter. No attorney member may refer any case referred to him/her to another attorney. If the attorney to whom the case is referred determines that he/she cannot handle this matter, he/she shall so inform the Association and the client, and the Association will provide the client with the name of another attorney from the referral list. Violation of this rule will result in the permanent removal of said attorney from the referral service. Nothing in this rule will prevent an attorney from association with co-counsel, regardless of whether said co-counsel is a member of the NWSBA, provided that the original attorney member remains primarily responsible for the matter. If the referral attorney declined representation, the referral attorney should direct the client back to the NWSBA office to arrange for a new referral attorney. ****PLEASE NOTE—NEW FEE ARRANGEMENT:**** A 10% administrative fee will be assessed by the NWSBA on fees - over $1,000.00 - generated as a result of a referral involving cases of Medical Malpractice, Personal Injury, Product Liability, Social Security Disability and Tort. As an example, a $2500.00 fee to an attorney would result in a 10% administrative fee of $150.00 (e.g. $2500.00 - $1000.00 = $1500.00 x 10%. Guidelines for Referral Attorney: WEB PAGE LINK CONDITIONS Lawyers providing information regarding themselves and their law firms for listing in the Public Access Directory (PAD) link to the NWSBA web site are responsible for both the accuracy of the information submitted and compliance with state and local law and bar regulations. The Website may only be used for lawful purposes. Transmission of any material, in violation of any US or state law or regulation or violation of any other Federal, state, municipal or local administrative body is prohibited. This includes, but is not limited to: copyrighted material, material legally judged to be threatening or obscene, or material protected by trade secret. In the event that any governmental or administrative body or any other entity brings legal action against NWSBA based upon member’s transmission or use of any such material, member agrees to indemnify and hold NWSBA harmless from any and all said claims, including attorneys fees. Any member listing in PAD and link shall be removed upon the effective date of members’ surrender or revocation of his or her license to practice law, or if required by Illinois Supreme Court Rule or Regulation. Member shall be in compliance with all membership requirements of NWSBA. Member shall comply with all State, Federal, and local laws or regulations, as well as within all professional codes of conduct as regulated by the Supreme Court of Illinois. The content of the linked members’ web page shall not include information regarding fees nor shall the member allow a link to another web site from the linked site without prior written approval of the NWSBA. Members’ web page content shall be reviewed by a designated NWSBA staff member for compliance with the above requirements. The Northwest Suburban Bar Association reserves the right to unilaterally drop the members’ web page link if the content of the web page changes in such a way as to conflict with the stated requirements. A reciprocal link to the NWSBA web site allowed, but not required. Payment made for the listing in PAD link shall be non-refundable. A member shall also comply with and be bound by all of the terms and conditions of the contract effective hereto and made a part thereof for a web site. I’ve read and agree to the NWSBA web page link conditions. Name: Signature: If filling out on-line, I agree to all of the above without my signature. Please check this box and type name on the below line. These are my Referral Service Categories. Three Categories are $65.00 every six months. Each additional Category is $10.00—maximum of five total categories. Each category is considered a group. If you do not practice all of the listed categories in a particular group, check each one separately. (It will still be considered one group choice.) Bankruptcy—Personal Bankruptcy Bankruptcy—Consumer Credit Bankruptcy—Business Bankruptcy—Personal Collection Bankruptcy—Other Business—Corps, Partnerships, LLC Business—Collect Debt Business—Commercial Litigation Business—Sales and Purchases Business—Other Criminal - DUI Criminal-License Reinstatement/ Secretary of State Criminal-Felony/Misdemeanor Criminal-Juvenile Criminal-Other Contract Law—Construction/ Consumer Enforcement Employment-Discrimination/ Sexual Harassment Real Property—Commercial Real Property—Residential Real Property—Landlord/Tennant/ Forcible Detainers Real Property—Property Tax Real Property—Other Immigration Insurance Legal Malpractice Medicaid Securities Lemon Law Social Security Disability Civil Rights-Americans W/Disability Civil Rights-Abuse of Power Estate—Wills & Trusts Estate—Probate Litigation Estate—Estate Planning Estate—Guardianship Estate—Other Tort-Auto Accidents Tort-Personal Injury Tort-Premises Liability Tort-Medical Malpractice Tort-Property Damage Tort-Slander/Libel Tort-Other Workers Compensation—Federal Workers Compensation—Injury Appellate Law Administrative Law—Local Government Administrative Law—Unemployment Hearings Administrative Law—Zoning Appeals Administrative Law—Zoning Elder Law Entertainment/Media Computer Law Military Law Condo Law Education Law Federal Law—Civil Litigation Federal Law—Criminal Employment-Severance Pay Employment-Unemploy./Wage Claim Employment-Wrongful Termination Employment-Americans W/Disability Employment-ERISA—Retirement Family-Divorce Family-Adoption Family-Custody Family-Domestic Violence/ Orders of Protection Family-Paternity Family-Child Support Enforcement Family-Other Income Tax—Appeals Income Tax—Other Intellectual Property—Trademark Intellectual Property—Copyright Intellectual Property—Patent These are my Public Access Directory Categories. 2 Groups selections are $60.00 every six months. Each additional is $10.00. Each category is considered a group. If you do not practice all of the listed categories in a particular group, check each one separately. (It will still be considered one group choice.) Bankruptcy—Personal Bankruptcy Bankruptcy—Consumer Credit Bankruptcy—Business Bankruptcy—Personal Collection Bankruptcy—Other Business—Corps, Partnerships, LLC Business—Collect Debt Business—Commercial Litigation Business—Sales and Purchases Business—Other Criminal - DUI Criminal-License Reinstatement/ Secretary of State Criminal-Felony/Misdemeanor Criminal-Juvenile Criminal-Other Contract Law—Construction/ Consumer Enforcement Employment-Discrimination/ Sexual Harassment Real Property—Commercial Real Property—Residential Real Property—Landlord/Tennant/ Forcible Detainers Real Property—Property Tax Real Property—Other Immigration Insurance Legal Malpractice Medicaid Securities Lemon Law Social Security Disability Civil Rights-Americans W/Disability Civil Rights-Abuse of Power Estate—Wills & Trusts Estate—Probate Litigation Estate—Estate Planning Estate—Guardianship Estate—Other Tort-Auto Accidents Tort-Personal Injury Tort-Premises Liability Tort-Medical Malpractice Tort-Property Damage Tort-Slander/Libel Tort-Other Workers Compensation—Federal Workers Compensation—Injury Appellate Law Administrative Law—Local Government Administrative Law—Unemployment Hearings Administrative Law—Zoning Appeals Administrative Law—Zoning Elder Law Entertainment/Media Military Law Condo Law Education Law Federal Law—Civil Litigation Federal Law—Criminal Employment-Severance Pay Employment-Unemploy./Wage Claim Employment-Wrongful Termination Employment-Americans W/Disability Employment-ERISA—Retirement Family-Divorce Family-Adoption Family-Custody Family-Domestic Violence/ Orders of Protection Family-Paternity Family-Child Support Enforcement Family-Other Income Tax—Appeals Income Tax—Other Intellectual Property—Trademark Intellectual Property—Copyright Intellectual Property—Patent Dues Schedule Please indicate below which program(s) you would like to participate in. Our fees are prorated, an invoice will be mailed to you. A) Current Dues (Semi Annual) Licensed less than five (5) years Licensed more than five (5) years State’s Attorneys, Judges, and Public Defenders B) Attorney Referral Service (Semi Annual) Referral Service Membership (Basic Package) Additional Categories ($10.00 each) C) Public Access Directory (Semi Annual) (Basic Package) Additional Categories ($10.00 each) D) Third District In Court Referral Program (semi-annual) E) NWSBA Foundation Scholarship Fund (optional) $ 65.00 $ 100.00 $ 45.00 $ 65.00 $ 60.00 $ 75.00 $ 5.00 __________ __________ __________ __________ __________ __________ __________ It is hereby understood and agreed by the undersigned that in applying for participation in the Association Attorney Referral Plan of the Northwest Suburban Bar Association, hereinafter referred to as the “Association”, that the undersigned will abide by all of the Attorney Referral Plan By-Laws and Rules adopted pursuant to said By-Laws. It is further understood and agreed that the undersigned hereby waives any and all claims against the Association, its Board, the Association Attorney Referral Plan Committee and its members and agents, for any liability or loss arising out of the referral of clients to the undersigned. In additional, the undersigned agrees to indemnify and hold harmless the Association, its Officers, and members of its Board of Governors and of the Association Attorney Referral Plan Committee and its agents, from any and all claims, demands, actions, judgment, liability or loss, including attorneys fees and costs, which may arise from or be incurred as a result of any and all referrals of clients to the undersigned. It is understood and agreed that upon acceptance of this membership application by the Association, that the undersigned agrees to abide by the By-laws of the Association and its rules and Regulations. The undersigned further grants authorization to the Association to make inquiry of the Attorney Registration and Disciplinary System of the Illinois Supreme Court concerning the status of the Undersigned. DATE: SIGNATURE OF APPLICANT: NWSBA SPONSOR:___________________________________________

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