Contact

The LGBT Bar Association of Greater New York
212-353-9118

Renew Your LGBT Bar NY Membership

* Required information

Personal Information

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
Address 1:
Address 2:
City:
State:
ZIP Code:
Country:
Phone:
* I certify that I am:
PLEASE NOTE: LGBT Bar NY has moved to a calendar year membership term of July 1-June 30.

Fee

Type	Fee
Income Up to $30,000	$40.00
Income Up to $50,000	$55.00
Income Up to $75,000	$80.00
Income Up to $100,000	$120.00
Income Up to $150,000	$150.00
Income Over $150,000	$175.00

Employment Information

* Employer (or enter n/a):
* In what setting do you practice/work?
* Please list your primary area(s) of practice:

Additional Information

The following information is voluntary and will be used strictly for the purposes of better serving our membership. The information will be kept confidential.
Age range:
Race/Ethnicity:
Sexual Orientation/Gender Identity:
Preferred Pronouns:
- she/her/hers
- he/him/his
- they/them/theirs

Payment

Payment Method

Pay with Credit Card

Payment Summary

Register

Mobile View

Desktop View