Membership Application

Please list your business and home address. ISBA Capitol Counsel Team communications will be sent to your business address unless otherwise requested. Home zip codes are necessary to identify your legislative district.


Name:
ISBA Member Number:
(See the four-to-seven digit number
at the top of your Illinois Bar
Journal mailing label)
Firm:
Business address:

Address:

City:

State:

Zip:

Business Phone:

Business Fax:

E-mail Address*:
 
Address at which you are registered to vote:

Address:

City:

State:

Zip:

 

*So that we may communicate with you in the most effective and least intrusive manner, we intend to communicate primarily by e-mail. We will fax or call if you do not have e-mail; however, this may result in delay in contacting legislators.