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1) Please indicate how you would prefer to to pay for the services of an attorney, should you hire one to help you with your legal matter. Note: there is no charge to sumbit your request.  [required]
Hourly Rate
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2) Who is the party needing estate planning services?  [required]
3) What is the age of the person needing estate planning services?  [required]
4) What is the marital status of the person needing estate planning services?  [required]
5) How many children does the person needing estate planning services have?  [required]
6) What estate planning services are needed? Check all that apply:  [required]
Asset Protection
General Advice
Health Care Power of Attorney
Life Insurance
Living Trust
Living Will
Power of Attorney
Trust
Will
Other: 
7) Comments or Details:

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First Name: [required]
 Last Name: [required]
10)Email Address: [required]
11)
Day Time Phone: [required]
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12)
Best Time: [required]

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