Member Application

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Law Firm Name*

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Email*

Office Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Admission to Practice Law*

Attorney No.*

Courts you are admitted to practice law*

If other:

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Graduation Date*

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Undergraduate*

Graduation Date*

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Other

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Areas of Legal Practice*

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