European Women Lawyers Association
Membership Database
Application for membership



Depending on the fields, you have to fill in words yourself or you have to tick boxes. You can tick several boxes in the same area.

Please check all the areas and send your data at the end of the form.

Please read this before completing the form:
The following fields of the data base are visible: name, title, state of domicile, profession, areas of practice, experience in specific regional areas, languages.
Other fields will be visible only if you tick the appropriate box.


Individual memberCorporate member
title


given name


family name


date of birth (yyyy-mm-dd)


bar association(s) or law societie(s) to which you belong


jurisdiction (s) in which you are admitted to practise law


position
 name of the association


date of foundation (day, month, year)


list of the board of directors (please upload file)


form of association


jurisdiction


legal personality according to


constitution (please upload file)


bar association(s) or law societie(s) to which the association belongs


state of domicile
state of citizenship
Addresses
Please send post to
home work
Private address / Corporate members: address of contact person
street
state / country
city
postcode
telephone number
(with international and area code)
direct dial number
(with international and area code)
facsimile number
(with international and area code)
e-mail
mobile phone
Professional address / Corporate members: address of the Association
administration, law firm, organisation, association
street
state/country
city
postcode
telephone number
(with international and area code)
direct dial number
(with international and area code)
facsimile number
(with international and area code)
e-mail
mobile phone
2. Professional address / Corporate members: address of the Association
administration, law firm, organisation, association
street
state/country
city
postcode
telephone number
(with international and area code)
direct dial number
(with international and area code)
facsimile number
(with international and area code)
e-mail
mobile phone
Contact person
Profession

 
     
     
     
 
     
     
     
 
 
     
     
     
 
     
     
     
 
 
     
     
 
 
 
 
 
 Other:
Main areas of practice (please do not tick more than five)

     
 
 Other:
 
Regional areas of practice
(You can select several fields by keeping the CTRL button pressed.)



Other:
Languages
(You can select several fields by keeping the CTRL button pressed.)



Other:
Special qualifications
Memberships

Contacts

Honorary posts

Publications (please upload file)

The following data can be included in the membersī data base
private/ contact personīs address
professional/ associationīs address
private/ contact personīs telephone number
professional/ associationīs telephone number
private/ contact personīs fax number of
professional/ associationīs fax number
private/ contact personīs e-mail address
professional/ associationīs e-mail address
private/ contact personīs mobile phone
professional/ associationīs mobile phone
Contact person
date of birth
bar association(s) or law societie(s) to which you /the association belongs
jurisdiction (s) in which you are admitted to practise law/ of the association
position
special qualifications
memberships
contacts
honorary posts
publications
Where did you hear first about EWLA?
recommendation
EWLA conference
direct mail
intranet
advertisement
editorial
other
I am interested in becoming an EWLA member

Individual membership (fee earner).
I am interested in becoming an EWLA member and I agree to pay the membership fee of 100 Euro.
Association with legal capacity.
We are interested in becoming an EWLA member and we agree to pay the membership fee of 200 Euro.
Stagiaire or student.
I am interested in becoming an EWLA member and I agree to pay the membership fee of 25 Euro.

Payments can be made by either bank transfer or credit card facilities as below.

Bank transfer to EWLA
Account number: 630-0236416-86
Bank: ING, Place Poelaert 1, 1000 Brussels, Belgium
Swift Code: BBRUBEBB
IBAN:BE78630023641686
Ref: Member's name, year(s) of membership covered, TYPE of membership (student/stagiaire, individual or association) AND email address (mandatory).
All costs/bank charges to be paid by you, the principal, please

Credit card
(N.B. increased by 1.94% charges i.e. EUR101.94, EUR203.88, EUR25.52 - charges are subject to change, are outside EWLA's control and therefore may vary from time to time).
If you wish to pay by credit card, please complete and return the attached authorisation form.