Client Intake Form

Full Company Name (if any)
Put the full company name for the business, whether it's formed or we're forming it as part of the legal services.
If you're not incorporated, but you do business under a fictitious business name, just put (DBA) in parentheses next to the name.
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Person Name*
First Last
Contact Person Address (if different from the business address above)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Email Address*
Business website (if any)
List the specific legal services you're hiring me to provide*

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