Legal Services Request
All information provided will be kept confidential.
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Name *
Phone Number *
Do we have permission to leave a voicemail at the phone number you provided? *
Email Address
Number of Person in Your Household *
Your Household Annual Income *
What county do you reside in? *
What is your zip code *
Do you prefer to communicate in a language other than English? *
If yes, what language do you prefer instead of English?
In 1-2 sentences, tell us what you need help with. *
How did you hear about our services? *
Submitting your information does not create an attorney-client relationship between you and Elevate Community Center. There is no guarantee that Elevate Community Center will provide you with any services, legal or otherwise. We will attempt to contact you three times before moving onto the next person. You can email info@elevatecommunitycenter.org or call us at 408-357-9538 with any questions. If you understand and agree, please acknowledge your agreement by typing your name below. *
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