Application for Affiliation
(Please print this page, complete all information and send to CLA/NH, P.O. Box 964, Londonderry, NH 03053)
The object of the Collaborative Law Alliance of N.H. is to promote the art of Collaborative Law and
to achieve the highest level of its practice.
Name _______________________________
Firm _______________________________
Address _______________________________
_______________________________
Phone _______________________________
Fax _______________________________
E-mail _______________________________
Website _______________________________
NH year of admission_____________________
(required for regular or practitioner status)
Date/Place of Training____________________
______________________________________
(required for practitioner status)
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Practice areas (note all that apply)
____Divorce & After Divorce
____Custody & Child Support
____Premarital Agreements
____Estates & Probate
____Guardianships
____Employee/Employer
____Business to Business
____Other (be specific)
____________________________
____________________________
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Category of affiliation you are seeking:
Supporter _____
Associate Member _____
Practitioner Member _____
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Annual Dues
$20.00
$20.00
$75.00
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| Please note - affiliation at the associate or practitioner status requires the approval of Board of Directors. Affiliation as a practitioner requires documentation as to completion of training.
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Supporter requirement
Support the objectives of the CLA/NH
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Associate Member requirements
Active member of NH Bar Association
Support objective of the CLANH
Support principles and guidelines of Collaborative Law
Sponsorship by a Practitioner Member.
Please fill in sponsor’s name, address and contact telephone number. By so doing you are giving
permission to CLA/NH to contact your sponsor to ask about your reputation and practice.
__________________________________________________
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Practitioner Member requirements
All those listed under Associate Members, including sponsorship (above)
Practiced law in NH for at least 2 years
Completed an approved Collaborative Law Training
Reputation for maintaining high ethical standards
No discipline within 5 years by the PCC
Intention to provide Collaborative Law services
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Certification- I certify that I meet the requirements for the category of affiliation that I am requesting.
________________________________________(Signature)
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