Membership Contact Information Form
Please use this form to provide or update your contact information with SLAGH.
Salutation:
(Mr., Ms., Mx., Dr., Hon., etc.)
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First Name:
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Last Name:
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Pronouns:
(She, ze, hir, etc.)
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Firm or Organization:
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Business Address:
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City:
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State:
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Zip Code:
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Business Email:
This will be the email displayed publicly, such as in SLAGH's online directory.
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Permanent Email:
People change jobs. Please provide an email where you can always be reached.
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Business Phone:
This will be the phone number displayed publicly, such as in SLAGH's online directory.
Your answer
Secondary Phone:
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Primary Practice Area(s):
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Specialization (if any):
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Law School:
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Year of Licensure:
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State(s) of Licensure:
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Spouse/Partner:
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SLAGH Annual Membership Dues
I consent to my contact information being posted on the SLAGH website.
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