LIVINGSTON COUNTY BAR ASSOCIATION

2022 LCBA MEMBERSHIP APPLICATION

with Directory Listing

______________________

"*" indicates required fields

Name*

Prefix First Middle Last Suffix

Business Name

Phone

Fax Number

Email*

Address

Street Address City State ZIP Code

Business Website

Year admitted to the State Bar Association of Michigan

Legal Specialization

Areas of Practice

You may select up to 3 areas of practice. Hold CTRL key down to click more than one.

If the LCBA has a current photo from past directories, there is no need to upload another copy!

If you have a NEW photo for the Directory upload here.

If you have problems uploading your photo, please email the photo directly to nancy@nancyjwebdesign.com.

Accepted file types: jpg, png, Max. file size: 33 MB.

LinkedIn Profile Page

Facebook Page

Your LCBA membership includes:*

General Membership with up to 3 Specialties & includes a photo in Membership Directory $175.00

General Membership with up to 3 specialties (no picture) $150.00

General Membership with photo in Membership Directory $125.00

Are you paying by check?*

Paying by check has a $25.00 payment processing fee.

Yes

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Price:

Total

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