New Attorney Membership Form

Complete and submit with the appropriate dues.

Last Name 
First Name 
Middle 
Date of Birth 
Gender
Male
Female
Spouses Name 
Home Address 
City 
State 
Zip 
Home Phone 
Firm Name 
Firm Address 
Firm City 
Firm State 
Firm Zip 
Firm Phone Number 
Firm Fax Number 
Email Address 
Law School Attended 
Date of Graduation 
Date Admitted to practice in Tennessee 
TN BPR # 
Licensed to practice in states other than Tennesee (include date & Bar number) 
Practice Areas 
Practice Setting (i.e. Private, corporate, other) 

IPSCO

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Chattanooga Bar Association | The Pioneer Building | Suite 420 | 801 Broad Street | Chattanooga, TN 37402
CBA Telephone: 423-756-3222 | FAX: 423-265-6602