Application Form

In addition to completing the following information, please also have two references email Eric at that you should be considered for membership.

Fill in the information below to apply for Rochester Estate Planning Council membership.

Personal Information

Office Information


Please indicate what discipline(s) you practice. You may select up to 5 disciplines.

(Signature of applicant, if printing)
Date: Thursday, July 18, 2019

Please contact with questions about council membership.