Consultation Request Form
Email address *
How did you hear about me? *
First Name: *
Nickname/Preferred name: *
Last Name: *
Spouse's name (if any):
Best contact phone (include area code): *
Mailing Street Address: *
City: *
State: *
Postal Code: *
Occupation: *
Work address:
Preferred communication method (can check more than one): *
What is your consultation regarding? *
What are the names of the people and companies involved in this issue? (I need this information to run a conflicts check to make sure I can represent you.) *
You understand that, by submitting this consultation request form, we have not yet established an attorney-client relationship. This information will be used to evaluate if there are any conflicts prohibiting representation in the future prior to establishing any attorney-client relationship. *
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