GayLawNet^®
Attorney's, Barristers & Solicitors
Registration (or amendment) Form

on 24 March 2013 at 1804L (GMT+11)

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Listings and amendments are not automatically posted to the GayLawNet® site and will usually appear within 24 hours, subject to all the information requested below being provided.

This is -
a new listing application
an amendment of a current listing
a deletion of listing request

Your Full Name:

Your Bar Card / Licence Number / Law Society Practising Certificate Number:

Do you identify -
openly as Gay, Lesbian, Bi-sexual or Transexual (GLBTI) ?
or as GLBTI "friendly" ?
(The relevant symbol will be placed alongside your name)

Your Firm Name (only if different from your name):

Your business office street address:

Mailing address (if different):

City/Town:

State, Province or County:

Zip/Post Code:

Country:

Your Contact Telephone Numbers:
Please include: Country Code - Area Code - Local Number
Voice:

Facsimile:

Cell (only if publication ok):

After Hours No. (only if publication ok):

Email (please double check that your email address is correct):

Your Website / Homepage URL:

Please nominate your preferred areas of practice (maximum 25 words for publication):

If you would like a "pop-up" (see example) to provide up to 500 words of additional information
concerning your practice, provide the information below or by email. If you wish to include a picture,
attach it to a separate email to gaylawnet@gaylawnet.com making sure you identify it.
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make payment via the Sponsorship page (click the button at the foot of the page).

Are you interested in amending/contributing material to GayLawNet® reflecting the law
and practice in your jurisdiction? If so, in which/what areas of practice?
(click here → LAWS to see examples)

How did you find GayLawNet^®?
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If not listed, please note below

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Please click "Submit" once only

Listings and amendments are not automatically posted to the GayLawNet® site and will usually appear within 24 hours, subject to all the information requested above being provided.

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