Board of Bar Bar Commissioners Directory Contact InformationFull 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" NameIf different from full name.Firm Name(Required)Mailing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Physical AddressIf different than mailing address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required)Assistant's NameAssistant'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 NamePrint 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.orgMax. file size: 256 MB. BioCopy and paste your bio here, or leave it blank and upload a word document below.Upload BioOnly upload your bio if you did not include it in the box above.Max. file size: 256 MB.
