New Membership or Renewal? New Membership or Renewal? New Membership Renewal

Name

Email Address

GA Bar No.:

Home Address

City

State

Zip code:

Home Phone:

Work Address:

City

State

Zip code:

Work Phone:

Cell Phone:

Law School:

Graduation Year:

Degree:

Other Post Secondary Schools

Date Admitted to Georgia Bar:

Other States Admitted To:

Nature of Legal Practice: Nature of Legal Practice: Private Public interest Real Estate Bankruptcy Criminal Law Domestic Relations General Corporate Estate and Probate Workman's Compensation PI/Malpractice Employment Sports and Entertainment Law Government Municipal Finance/Bonds

Other: Please specify

Please forward DLA correspondence to Please forward DLA correspondence to My Home My Work

Additional comments or in what capacity would you be willing to serve: