INTAKE FORM - Potential Client
If you wish to be contacted by the firm regarding your legal matter, please complete the form below.  Once submitted, the firm will contact you.  

If you prefer, you may schedule a discovery session or one of our other services using the online booking system located at yourvirtualadvocate.youcanbook.me.  You may also email any further inquiries to info@yourvirtualadvocate.com.

Disclaimer: 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.
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Date *
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Client Name (Full Name or Business Entity) *
If Business Entity, Company Contact with Title
Physical Address *
Mailing Address, if different
Mobile Phone *
Work Phone
Email *
Website
Do you use WhatsApp?
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What is the area of law in which you seek help? *
Are you currently working with, or have you worked with, another attorney on this matter? *
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