GSBA Membership Registration

The membership application requires two steps for successfull completion. After completing the form below, step 1, you will then move on to step 2, the dues payment process. Once you complete the dues payment process you registration will be complete.
First Name:*
Last Name:*
Home Address:*
City:*
 State: *   
Zip Code:*
Home Phone:*
   Home Fax: 
Email:*
Business or Firm Name:
Business Address:
Business Phone:
  Business Fax: 
Business City
   Business State: 
Zip Code
Preferred Maling Address:
 Home Business
Areas of Practice:
Memberships
(check all that apply)
 ABA NBA NJSBA ABWL HBA Other
Law School:
   Graduation Year: 
(1) Bar Admissions State:
   Year Admitted: 
(2) Bar Admissions State:
   Year Admitted: 
Membership Type:*
(check one):
 New Member, or Renewing(Member I.D)
Date of Application
(or Renewal)
  mm / dd / yy
Committee Selections
 (I wish to serve on the following committee(s))
To select
more than
one hold
the Ctrl key
Comments:
  * (required for succesful submission)