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Name

Home Address

AM Phone #
PM Phone #
Fax #

E-Mail Address

Would you prefer us to arrange a sponsor? Yes: / No:

If you checked no, provide the name of your Attorney Sponsor for the Admissions Ceremony.

How many guests do you anticipate will be attending the ceremony?

Are you currently practicing law? If so, where and with who?

Do you plan on practicing in the Genesee County area? Yes: / No: / Undecided:

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