Online Membership Form

Select Membership Preference
Types of Membership
Agency Name:
Member Name & Bail License No: ,
Agency E-Mail:
Voting Memeber Name & Bail License No: ,
City, State, Zip: , ,
Voting Memeber E-Mail:
Phone (123-456-7890) | Fax (123-456-7890): Phone: Fax
Additional Non Voting Member & Bail License No: ,
Contact E-Mail Address:
Addn'l Non Voting Member E-Mail:
Are You A Previous or Current Member?
Would you like to auto renew your membership?
Additional Informaiton:
  • A portion of membersip dues (up to 65%) to CBAA may be deductible as an ordinary and necessary business expense. Membership dues are not considered charitable contributions. Contributions to the CBAA-PAC are not deductible as a business expense. Please consult your tax consultant or attorney.
  • I hereby authorize CBAA to send me via fax or e-mail, information regarding its education program, legislative program, convention, and other pertinant information regarding the bail industry.
  • CBAA does not rent or sell its Membership data.
  • Once you click "Send Membership Request" the form will send you to the payment page.