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Contact Information
Full Name
(Required)
Please use my photo, firm name, and contact information from last's year's BBC Directory.
If you checked this box, you can disregard the rest of this form. If any of your information has changed since last year (i.e. firm name, email address, etc. - please fill out the entire form below.
If you checked this box, you can disregard the rest of this form. If any of your information has changed since last year (i.e. firm name, email address, etc. - please fill out the entire form below.
Yes, my information is the same.
"Goes By" Name
If different from full name.
Firm Name
(Required)
Mailing Address
(Required)
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Physical Address
If different than mailing address
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email
(Required)
Assistant's Name
Assistant's Email Address
Print my Assistant's name in the BBC Directory?
Yes
No
Home Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Cell Number
(Required)
Office Number
(Required)
Spouse's Name
Print my Spouse's name in the BBC Directory?
Yes
No
Headshot
(Required)
This photo will be used next to your name in the directory. Make sure the size does not exceed 100MB. If you are having trouble uploading your photo, email melissa.warnke@alabar.org
Max. file size: 100 MB.
Bio
Copy and paste your bio here, or leave it blank and upload a word document below.
Upload Bio
Only upload your bio if you did not include it in the box above.
Max. file size: 100 MB.