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First Name*: |
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Middle Name: |
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Last Name*: |
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Suffix: |
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Membership is $60. If your Information from last year is unchanged, click submit to pay. |
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If your information has changed, please fill out the changed information in the form below: |
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Employer/Law School Name |
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Position: |
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Street Address: |
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City: |
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State: |
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Zip: |
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Business Phone Number: |
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Business Fax Number: |
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Email address: |
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Secondary Email/Website URL: |
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Area of Practice: Please select no more than 3
(to make multiple selections, hold down the "ctrl" button while clicking):
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Submit new photo for L.A. Chapter Member Directory (optional):
(Photos should be in .jpg, .tif or .eps format and at least 1MB in size)
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| If LDS please list Stake and Ward: |
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Stake: |
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Ward: |
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| Committee Participation: Please indicate your willingness to help on a committee (rank your preferences): |
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