: PABAR

Law Student Membership Application

Please enter the information requested below to purchase membership.

All fields marked * are required.
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Basic Information

Prefix

First Name

Middle Name

Last Name

Suffix

Email Address

Secondary Email Address

Primary Contact Information

Current Street Address

Address Cont.

City

State

Zip

Current Phone

Permanent Street Address

City

State

Zip

Date of Birth

Education

Law School	Expected Graduation Date

I am a:

Full-Time Student Part-Time Student

Membership Dues

Law Student Membership (Electronic)	$0.00
I have an appeal code!

Totals