Pinellas Association of
Criminal Defense Lawyers

**Please complete the following form and print this page.
Please mail the form and a check for the appropriate membership category to:

PACDL Treasurer
14250 49th Street North
Clearwater, Florida 33762

Please make checks payable to PACDL

Application / Renewal Form
Name:   
Address: 
City: State: Zip:
Web Address: 
E-mail Address: 
Phone:    Fax: 
Select the membership category that applies:
  Private Attys Practice under 5 years...$50.00
  Private Attys Practice over 5 years...$75.00
  Public Defender Practice under 10 years...$25.00
  Public Defender Practice over 10 years...$50.00

Please print this completed form and mail along with your
membership payment to the above address.  Thank you.