jefferson bar home
 
 

Membership Application (part I)
Note: Payment information will be requested on next page.
  *required information
First Name*
Initial
Last Name*
Suffix
   
Bar Number*
E-mail*
Secondary E-mail
(home or secretary)
   
Firm
Office Address
 
City
State
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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