Tom Green County Bail Bond Board
Application for Criminal Defense Attorney Representative on the Tom Green
County Bail Bond Board for Calendar Year 2017
I request that my name be place on the ballot as a candidate for election as the criminal
defense attorney representative on the Tom Green County Bail Bond Board.
FULL NAME:
STATE BAR NUMBER:
FIRM NAME AND OFFICE ADDRESS:
BUSINESS TELEPHONE NUMBER:
EMAIL ADDRESS:
COUNTIES IN WHICH YOU PRACTICE LAW:
By my signature below, I hereby certify that I am a criminal defense attorney who
practices law in Tom Green County.
Signature:__________________________________
Printed
Name:_____________________________________________
Dated:___________________________
Please return this form to: Dianna Spieker-Tom Green County Bail Bond Board Chairman
112 W. Beauregard
San Angelo, TX 76903
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