Member's Name

Member Firm Name (if applicable)

Address

City, State, ZIP

Office Phone

Email Address

Website

Date admitted to practice in the State of Connecticut (if applicable):

Membership Type (Select which one applies): Membership Type (Select which one applies): New Attorney / Law Student Admitted to practice law within the past two (2) years or currently enrolled in law school Law School (if applicable) Retired Attorney - Retired attorney and former dues-paying member Honorary Member Judicial officers, individuals admitted by invitation, or Connecticut attorneys admitted to practice law for 45 or more year

Membership Eligibility (Select one): Eligible Connecticut Municipalities: Bethel, Brookfield, Danbury, New Fairfield, New Milford, Newtown, Redding, Ridgefield, and Sherman. Membership Eligibility (Select one): Eligible Connecticut Municipalities: Bethel, Brookfield, Danbury, New Fairfield, New Milford, Newtown, Redding, Ridgefield, and Sherman. I currently reside in one of the eligible municipalities listed above. I, my firm, or my organization maintains an office in one of the eligible municipalities listed above.

Additional Options Additional Options YES, I want our contact information listed in the GDBA’s password-protected online Member Directory? Available to members at no additional cost. NO, I do not want our contact information listed in the GDBA’s password-protected online Member Directory? Available to members at no additional cost. YES, we would like access to the GDBA’s reserved parking spaces located across from the Danbury Superior Court on White Street? Optional add-on: $160.00 per member. NO, we would not like access to the GDBA’s reserved parking spaces located across from the Danbury Superior Court on White Street? Optional add-on: $160.00 per member.

Area of Practice — Please select or enter up to three (3) practice areas in which you practice or specialize, if applicable. If you list more than three, only the first three will appear in your Member Directory listing on the GDBA website. Area of Practice — Please select or enter up to three (3) practice areas in which you practice or specialize, if applicable. If you list more than three, only the first three will appear in your Member Directory listing on the GDBA website. Alternative Dispute Resolution Business Corporate Civil Rights Child and Juvenile Criminal Elder Law Family and Divorce Government / Municipal Health Law Immigration Litigation Intellectual Property Labor and Employment Landlord and Tenant Litigation Personal Injury Real Estate Tax Trusts & Estates / Probate Workers' Compensation Zoning and Land Use Other