State Bar of Texas
Sexual Orientation & Gender Identification Issues Section
Membership Form
| Last Name: | _____________________________________________________ | ||
First Name: |
_________________ | Middle Initial: | _________________ |
Address Line 1: |
_____________________________________________________ | ||
Address Line 2: |
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City, State ZIP: |
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Home Phone: |
_________________ | Work Phone: | _________________ |
Other Phone: |
_________________ | FAX: | _________________ |
E-Mail Address: |
_____________________________________________________ | ||
Website: |
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Firm Name: |
_____________________________________________________ | ||
Position: |
_________________ | Bar Number: | _________________ |
Please make check or money order for $10 payable to State Bar of Texas, Section Membership, and mail with this form to:
State Bar of Texas
Section Membership Department
PO Box 12487
Austin, TX 78711-2487