Membership Application (part I)
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*
required information
First Name
*
Initial
Last Name
*
Suffix
none
Jr.
Sr.
III
IV
other
Bar Number
*
E-mail
*
Secondary E-mail
(home or secretary)
Firm
Office Address
City
State
Louisiana
Other
Alabama
Alaska
Arizona
Arkansas
California
Colorado
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Florida
Georgia
Hawaii
Idaho
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Indiana
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Louisiana
Maine
Maryland
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Michigan
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Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
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New Mexico
New York
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North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip Code
Office Phone
*
Office Fax
New Member
Renewing Member
Regular Membership
$75.00
Jefferson Parish Employee Membership
Assistant District Attorneys, Law Clerks, Indigent Defender Board Attorneys and Assistant Parish Attorneys
$50.00
Attorneys Practicing for 5 Years or Less
$50.00
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