Bank Counsel Section Membership Application

 

Name                                                     Nickname                                                           

Firm                                                                                                                                

Address                                                                                                                           

City/State/Zip                                                                                                                   

Phone #                                                         Fax #                                                           

State Bar Membership #                                                                                                     

 

Return with membership fee of $150 to:

Kenyetta Parks 
Georgia Bankers Association
50 Hurt Plaza, Suite 1050
Atlanta, GA 30303

(404) 420-2035

Return to Bank Counsel Member Information