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First Name

     

Last Name

     

Firm/Agency/Employer

     

Email Address

     

Street Address

     

City

     

State

     

Zip Code

     

Work Phone

     

Cell / Other Phone

     

Preferred
Contact Method

     

Fax Number

     

Services Requested

     

Other Services / Special Instructions (optional)

     

Tentative Due Date

     

Expedited Service
(5 days or less)?

     

Please upload any relevant documents (maximum three attachments)
See submission instructions

     

     

     

Please check all
that apply.

   
   
   
   
   

Are you a
first-time client?

     

How did you hear
about QP Legal?

     

Are you submitting
a payment with
this order?

     

Inquiry Only / No Obligation.  I understand that this submission constitutes an inquiry only.  At any point before QP Legal expressly confirms receipt and acceptance of my order, QP Legal is free to decline it, and I am free to withdraw it without incurring any charges. I will not assume QP Legal has begun work on any project unless and until I receive written confirmation from QP Legal of same.


Attorney Confirmation.  I hereby confirm that I am a duly licensed attorney in good standing, and I am admitted to practice law in the jurisdiction for which this inquiry is being made.


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