Membership Application

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Membership Application

If you are a first-time applicant applying for membership with ESRBA, please fill out this application.

To renew your dues, please click here to access your online account.

Thank you for your interest in joining the Escambia-Santa Rosa Bar Association. Please fill out this application and send it to the Bar Office at 260 S. Tarragona Street, Pensacola, FL 32502 or esrba@esrba.com.

Then proceed to the next page to complete the payment process

Prefix

First Name*

Middle Name

Last Name*

Suffix

Email Address*

Date of Birth

Phone*

Fax

Street Address*

City*

State

Zip Code*

Classification*

Florida Bar Number*

Date Admitted to Florida Bar*

General Contribution

$250.00

$75.00

Other

Membership Application

Demographics

Membership Dues

Optional Contribution

General Contribution