Last Name:

Middle Initial:

First Name:

Last Name at Graduation (if different):

Preferred E-mail:

Graduation Year: (4 digits)

Home Address:

City:

State:

Zip:

Country:

Home Phone:

Organization Affiliation while in law school:

Title:

Business Name:

Business Address:

Suite:

City:

State:

Zip:

Country:

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Business E-mail:

Organization Size:

Bar State:

Year Admitted:

Primary Law Category:
Academic
Business
Government
Private Practice
Public Interest
Solo Practice
Other

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E-mail Preferences:

Use home e-mail
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Do not use e-mail for contact

Postal Mail Preferences:

Send to home address
Send to work address

Contact Me about Volunteering:

Yes
Another time
No

I would like to Author an Article for The Lawyer:
Yes

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