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UNITED STATES DISTRICT COURT FOR THE DISTRICT OF UTAH ATTORNEY REGISTRATION FORM 2009 - 2010 Bar ID: ______________ Name: ______________________________________________ Office: _______________________________________________ Address: _____________________________________________ City, State Zip: _______________________________________ Telephone: ____________________

Email Address(es): ______________________________________________________________________________

1. 2.

Verify the information, including email address(es), printed above; it is the Court's official record of how to reach you. Make corrections directly on this form. Call (801) 524-6105 if you have questions. Pay one of two ways:
OR Online: If you have a CMECF login, you may pay online: a. Login at http://ecf.utd.uscourts.gov (with your e-filing login) b. From the blue bar in CM/ECF, click Civil, Attorney Annual Dues c. You will be prompted to pay your fees online through pay.gov. d. Continue the prompts ALL the way through, until you see the final Notice of Electronic Filing screen. You will receive an email confirmation the following day. e. If you pay online, please retain this form for your records. (Note: Attorneys employed with a Federal agency may not pay online.)

By Mail: Complete this form with your original signature and mail it with credit card information or a check made payable to "District Court Bar Fund" by July 1, 2009, to: U.S. District Court PO Box 25186 Salt Lake City, Utah 84125-0186

PAYMENT MUST BE RECEIVED BY JULY 1, 2009, TO RETAIN ACTIVE STATUS

Please check desired Federal Bar membership status:
Active.................................... $15.00 Active ................................... No Fee* Inactive ............................... No Fee
Pursuant to DUCivR 83-1.2, I hereby register as a member of the Bar of the United States District Court for the District of Utah for 2009-10 (July 1, 2009 - June 30, 2010). I certify that: 1. I am a member in good standing of the Bar of this Court and an active member of the Utah State Bar, 2. I have read and am familiar with the Rules of Practice of this court. 3. I acknowledge that the court has mandated electronic filing for all active members of its bar and will comply accordingly. ______________________________________ Signature _________________ Date

(by 7/1/09)

($30.00 after 7/1/09)

* No fee required if admitted after July 1, 2008.

Type of Card: ___Visa ___MasterCard ___Discover ___American Express ___Diners Club

CREDIT CARD INFORMATION Name on Card:_____________________________________________________ Authorizing Signature:_______________________________________________ Credit Card Nbr/Exp Date:_____________________________________ /___________ Amount Authorized: $______________