CCTLA Membership Renewal

First Name*
Last Name*
Email Address*
Phone*
Membership Plans*
Total
$0.00
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Credit Card
Card Details
Cardholder Name

“I certify that I am in good standing with the State Bar of California or associated with an attorney or law firm and that I/they am/are primarily engaged in the prosecution of plaintiff’s personal injury, consumer, or employment actions or workers’ compensation applicant’s claims, or the defense of criminal actions.

I further certify that I do not work for any insurance companies nor do I engage in insurance defense practice. I will immediately surrender my membership with CCTLA should I work for any insurance company or engage in insurance defense practice.

Dues are not deductible as charitable contributions for income tax purposes.”