GAPABA, Attn: Jason Chang, Treasurer
c/o Sutherland Asbill & Brennan LLP
999 Peachtree Street NE
Atlanta, Georgia, 30309

First Name:

MI:

Last Name:

 I am renewing my Membership. Please make any updates as necessary. If no changes, skip to DUES.
 I am a NEW Member. Please fill out the form completely.

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Employer:

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City:		State:		Zip:
Work Address:
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Home Phone:		Work Phone:
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E-mail:		Fax:

Mail: Please send all GAPABA-related mail to my: Work Home

Directory: In the GAPABA directory, please select one: Work Information Only All Information Home Information Only None

Education, Bar Admissions, Practice Areas

	School	Year of Graduation	Degree
Undergraduate:
Law School:
Bar(s) Admitted:

Practice Areas:

Practice Type:

Firm Federal Government State/Local Government Judicial Solo Academic Corporate/In-House Counsel Law Student Other (specify below)

Programs

I am interested in getting involved with the following GAPABA areas (check all that apply):

Governance Committee	Finance Committee	Membership Committee
Professional Development	Email/Newsletter	Pro Bono Opportunities
Cultural/Social Activities	Website Maintenance

I am interested in volunteering with the People's Law School: Yes No

I am proficient in the following Asian languages (indicate with "excellent," "good," or "fair"):

Asian Language(s):	Conversation:	Reading/ Writing:	Interpret/ Translate:	Willing to Volunteer?
	Excellent Good Fair	Excellent Good Fair	Excellent Good Fair	Yes No
	Excellent Good Fair	Excellent Good Fair	Excellent Good Fair	Yes No

ANNUAL MEMBERSHIP DUES (valid now-December 2008)

GAPABA is the Georgia chapter of the National Asian Pacific American Bar Association (NAPABA), which receives a portion of your dues. Your membership in GAPABA automatically includes membership in NAPABA. Both GAPABA and NAPABA are 501(c)(6) nonprofit organizations. Your voluntary contributions are welcome!

• Private Firm/Corporate Counsel Members: $ 50.00
• Government/Public Interest/Judicial/Law Student Members: $ 25.00
• Voluntary contribution to GAPABA:
• Voluntary contribution to NAPABA:

TOTAL AMOUNT TO BE SENT: $
DATE: