Application Form

	E&BPC OF BATON ROUGE	MEMBER LOGIN
	MEMBER LOGIN

Fill in the information below to apply for E&BPC of Baton Rouge membership.

Personal Information

First Name

Last Name

Business Name

Email Address

Website

Office Information

Business Address

Business City

Business State & Zipcode

Business Phone

Business Fax

Disciplines

Please indicate what discipline(s) you practice. You may select up to 5 disciplines.

Disciplines

Attorney Attorneys Bankers and Trust Officers Certified Financial Planner™ Certified Public Accountant Charitable Foundation Manager / Fund Raising Executive Chartered Life Underwriter® / Chartered Financial Consultant® Educators Non-Active Members

(Signature of applicant, if printing)
Date: Friday, March 24, 2023

Please contact mstewart@laporte.com with questions about council membership.

E&BPC of Baton Rouge is affiliated with the National Association of Estate Planners & Councils and joining can fulfill the requirement of belonging to an affiliated local estate planning council to become an Accredited Estate Planner® (AEP®) designee. Please contact the national office at 866-226-2224 to learn more about the Accredited Estate Planner® designation.