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Client Contact Information

Full Legal Name:

First name

Middle name

Last name

Other names that you are known by:

D.O.B. (dd/mm/yyyy):

Address:

Address Line 1:

Address Line 2:

City:

Province:

Postal Code:

Country:

Phone number:

Home:

Office:

Cell:

Email:

Does the matter involve your business?

Business Name:

Name and position of any office contact person(s):

Company address:

Street:

Unit/Suite/Apt:

Street name:

City:

Province:

Postal Code:

Company phone number:

Company fax number:

Company email address:

Related Parties

Parties.  Please provide the names and contact information for any parties that are related to your matter.

For example: the person you want to sue, the person who is suing you, co-accuseds, or the spouse you wish to divorce.

Business name:

Name and position of any office contact person(s):

Company address:

Unit/Suite/Apt:

Street name:

City:

Province:

Postal code:

Company phone number:

Company fax number:

Company email address:

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