CLIENT INTAKE FORM
Please complete if you are interested in our legal services. Filling out and submitting this form does not create an attorney-client relationship. No such relationship exists until a written engagement agreement is signed and payment for services has been made. All information submitted will remain confidential.
Date *
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Client Name (Full Name or Business Entity) *
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If Business Entity, Company Contact with Title
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Physical Address *
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Mailing Address, if different
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Mobile Phone *
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Work Phone
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Email *
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Website
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Do you use WhatsApp?
What is your legal issue with which you need assistance? *
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