(Please Print Clearly)
Title ..
Full Name .
Firms address
..
..
DX .. Tel.No ..
Fax No . .. ... Email:
Does your firm have a website Yes/No. If yes, address
Date admitted as a solicitor ../ /
Areas of specialism
..
Are you a member of a panel, if so which ones ..
.
Do you undertake LSC Contract work yes/no if yes in which areas ..
P.T.O.
Signature of applicant
Nominated by Signature
Please print name .
Name of Firm
Seconded by Signature
Please print name .
Name of Firm
Both signatures to this nomination must be members of the Society
Once fully completed please return this form to:
Phil Smith
Administrator
Northamptonshire Law Society
Ashtrees Cottage
21 Saxon Rise
Duston
Tel: 01604-585653 for further information.
Before council
.
.
Letter of acceptance sent