Contact Information Update Form

Thank you for helping us keep our records up to date. Please use this form to update your contact information with us.

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Member Information

Current Member: Yes No Not Sure

BASF ID#

Prefix (Ms., Mr., etc.)

First Name*

Middle Name or Initial

Last Name*

Suffix/Designatione.g. Jr., III

Employer/Law School Name

Mailing Address*

City

State

Zip

Country

Phonee.g. (415) 982-1600

Faxe.g. (415) 982-1600

Email*

Company Website URL

License Information

State

Bar ID#

Admit Datemm/dd/yyyy

State

Bar ID#

Admit Datemm/dd/yyyy

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