JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Appointment Request Form/Price Information
Thank you for your interest in working with Reznik Law! Please complete this form and we will contact you within 24 hours to schedule your appointment and/or provide you with general pricing information. The form will take approximately 2-3 minutes to complete.
The information requested in this form will help us determine what type of appointment you need and the duration of the appointment. For example, clients with complex assets or estates of high value will likely require more time and a discussion about tax planning.
Feel free to call us at 919-228-9733 if you have any questions or if you prefer the schedule appointment over the phone.
Completing this form does not establish an attorney client relationship with Reznik Law. The attorney client relationship is only established upon signing a formal client services agreement. Reznik Law will ONLY use this information for appointment scheduling purposes.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Full Legal Name
*
Your answer
I am submitting this form to...
*
obtain general pricing information only. I am not currently looking to schedule an appointment
schedule an appointment and obtain general pricing information.
Required
Your email address
*
Your answer
Phone number
*
Your answer
Your date of birth
*
MM
/
DD
/
YYYY
Are you doing your estate planning with anyone?
*
No, I am planning for myself only
Yes, (spouse, partner, fiancé, significant other, etc)
Are you and the person you are planning with both United States citizens?
*
yes
no
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Reznik Law.
Report Abuse
Forms