Student Membership Registration About Student Memberships | Student Directory | Student Registration | Student Membership Renewal This form is for new registrations only.First Name*Middle Name or InitialLast Name*Name SuffixEmail* email auto fillPhoneStreet AddressStreet Address Line 2CityStateZip CodeUniversity or Law School*Year Expected to Graduate*201920202021202220232024Area of Professional Focus*Please choose…LegalFinancialMental HealthOtherDisclaimer*By submitting this application for registration as a Student Member of Collaborative Divorce Texas, I confirm that I am currently pursuing a degree as a law student, undergraduate student, or graduate student, and have not previously been licensed by any governing entity as an attorney, mental health professional, or financial professional. I have read and agree. Annual Student Membership Registration* Price: $25.00 test for Stewpie* Price: $2.00 Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.
