Join the GCBA

Thank you for expressing interest in joining the Genesee County Bar Association. Please complete the form below to begin your application or click here for a printable form.

Member Information

Prefix: (i.e. Hon)
First Name:
Last Name:
Suffix:

Firm Name:

Address 1:
Address 2:

City: State: Zip:

State Bar Number:

Business Phone:

Business Fax:

Website:

Do you want your photo in the online member directory? Yes, use my photo that is on file
Yes, I will send a file to GCBA
No, I do NOT want to publish a photo online

Additional Information

Birth Date:

Are you in active practice?

Home Address:

City: State: Zip:

Home Phone

Spouse's Name

Membership Category

$95.00 New Lawyer: 0-5 years since admission to the State Bar of Michigan.
$190.00 Regular Member: Over 5 years since admission to the State Bar of Michigan.
$350.00 Sustaining Member: Same as a Regular Member, but also includes free monthly membership meetings.
$75.00 Associate Member: Licensed to practice, but has not engaged in the practice of law for compensationin the last year and will not practice law for compensation in the forthcoming year.
$35.00 Law Student Member: Submit evidence demonstrating current student in good standing in an accredited Michigan Law School.

Education

Undergraduate:

Juris Doctorate:

Other Degrees:

If applying for a student membership:

School: Year:

Year of Admission to the State Bar of Michigan:

Membership to Other Bars (Please Name) ?

Payment

Card Number: Input number with no spaces

CV2: Input the last three digits from the back of your card. For AMEX, the 4 digits after your card number.

Expiration: / (YYYY)

Billing Zip:

Please press the Submit Application button to send this information to the GCBA. We will contact you shortly to confirm the data and to obtaing your billing information.