Membership Form - Change Of Contact Information
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2Request Form
Change of Contact Information
845 Cambie Street, Vancouver, BC, Canada V6B 4Z9
t 604.669.2533 | BC toll-free 1.800.903.5300
Membership 604.605.5311 | f 604.687.0135
TTY 604.443.5700
Email | lawsociety.bc.ca
Please set out your name and all current contact information (including the effective date of any changes).
Sign and return this form to:
Attention: Member Services
By mail:
845 Cambie Street, Vancouver, BC V6B 4Z9
By email:
Are you changing your membership status? If so, please note that all insurance and membership
application forms are available on our website at lawsociety.bc.ca
EFFECTIVE DATE
PART A: New contact information
(DD/MM/YY)
Given name(s)
Surname
If name has changed, note previous name
Preferred contact name
Name of law firm or workplace (if applicable)
Practising members: please
Office address
state your practice address or
addresses.
Non-practising and retired
members: please state your
home address.
City and Province/State
Postal/Zip Code
If you have any particular
requirements, please contact
Member Services.
Firm telephone
Direct telephone
Firm fax
Direct fax
E-mail address
Mailing Address (if different from office address)
PART B: New membership status
Employee
Space sharing arrangement
Sole practitioner
Legal researcher
Government employee
Contract employee
Inactive/unemployed
Apparent partner
Updated: 18-Nov-13
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DM35544
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