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Membership Application

Step One - Submit Membership Details

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

Areas of Practice

Abuse/Neglect/Custody
Adoption
Alternative Dispute Resolution/Mediation
Appeals
Assistant Prosecuting Attorney
Bankruptcy
Business
Collections
Constitutional
Construction
Corporate
Criminal
Divorce
Dramshop
Education
Elder
Employment/Labor
Family
General Practice
Governmental
Guardianship/Conservatorship
Insurance
Intellectual Property
Judge, Circuit Court
Judge, District Court
Landlord Tennant
Legal Malpractice
Litigation
Medicaid
Medical Malpractice
Medical/Dental
Michigan Liquor Control
Municipal
Native American
Patent/Trademark/Copyright
Personal Injury
Probate (wills, estate)
Real Estate
Social Security
Tax
Tax Exempt/Non-profit
Torts (defense only)
Torts (plaintiff only)
Traffic Violations
Trusts
Worker's Compensation

Birth Date:

Are you in active practice?

Home Address:

City: State: Zip:

Home Phone

Spouse's Name

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) ?

Enter Security Code:
Type the letters as they appear in box below.

Please press the Submit Information button. On the next screens you will pick your membership type in our online store and can either purchase online or elect to be invoiced.