Your Name (required) Your Email (required) Name of firm: Street Address 1: Street Address 2: City: State, Zip Code: Telephone Number: Fax Number: Cellphone Number (optional): Please provide the following information: Two current SER members who have agreed to nominate and second you for membership (candidates must contact nominators in advance and secure their approval): (1) Name: Phone: (2) Name: Phone: I hereby consent to receive official notices from Securities Experts' Roundtable via email (required). Yes No Approximate number of times you have been retained as an expert witness:
Approximate number of times you have testified as an expert witness in a securities or commodities matter:
We would appreciate it, if you would provide us with a brief bio (under 250 words.) This information will be used to help other members get to know you professionally, as well as to provide us with your background information. We will consider this information in evaluating your application for membership. For example, if you have been retained as an expert witness fewer than 20 times, your professional experience, skills, published text(s), or other qualifications will enhance your ability to contribute to the organization and will be considered during our review.
Your annual fee will be $250.00 and should be sent to the below address after your submission. (Paperless (electronic) submissions are preferred; however, if you are unable to complete the application on line please send it to the fax number shown below, and remit payment payable to Securities Experts' Roundtable by check to the address shown.) Thank you. SER Membership Committee Chair c/o F. Jack Herrmann Herrmann Dispute Resolution Services, LLC 174 Queen Street Charleston, SC 29401 Phone 1-843-853-9416 Fax 1-843-437-5562 Email: membershipchair@securitiesexpert.org Please attach a current copy of your resume or curriculum vitae (required) Digital Signature (fill in name): Date:
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