20210115_084825

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20210115_084825

NEW CLIENT CONTACT FORM

1Start Here - Become a New Client

2Tell Us your Address

3Tell Us about Your Situation

4Start Step 1 - Pay $95

5Billing Address for Credit Card

6Type your Name & SUBMIT NOW

Your Name *

Your Phone Number *

Your Email Address *

Your Home Street Address *

Your CITY - STATE - ZIP code *

What is Your Situation? Any Children? Property? Assets? Debts? *

Credit Card Number for $95 - ** Charged later when Accepted as Client *

Expiration Date *

Security Code *

Complete If a Different Billing Address for Credit Card

State & City & Zip Code

Limited Scope Family Law Legal Services Agreement Flat Fee / Unbundled / Uncontested True Default Divorce/ Legal Separation / Legal Service for Self-Represented Clients I. Parties to Agreement This Limited Scope Family Law Legal Services Agreement (“Agreement”) is entered into between (Your Full Legal Name) _______(“Client”), and THE LAW OFFICES OF DONALD E. GLASS (“Firm”). CREDIT CARD AUTHORIZATION FOR LEGAL SERVICES & COSTS: Client authorizes the payment of $95.00 for Step 1 and for subsequent payments by entering the credit card info this form, and as provided in this Agreement and as described below for all legal services rendered and for all costs to Client, and as Non-Refundable, as provided in this Agreement. Client may CANCEL further legal service at any time with proper notice as provided below in this Agreement, which is attached hereto and incorporated herein by reference.

You acknowledge & agree to the terms & conditions of the Retainer Agreement attached hereto. *

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TYPE YOUR NAME as Authorization & Confirmation of Retainer Agreement *

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Copyright 2021 All Rights Reserved - D E Glass, Esq, CaliforniaOnlineDivorceAttorney.com - DISCLAIMER: The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for advice regarding your individual situation. We invite you to contact us. Your initial contact does not create an attorney-client relationship. Please do not send any confidential information to us until such time as you are ready to retain Attorney D E Glass. - Main Location: an Diego County (619) 821-8846 1895 Avenida Del Oro,, Ste 5735 Oceanside, CA 92056 https://californiaonlinedivorceattorney-legal-services.business.site Riverside County - 43537 Ridge Park Drive, Temecula, CA 92590, Phone 877-631-4644 - Location:seo 10085 Carroll Canyon Road Suite 100, San Diego, California 92131- Locationseo: 2 Park Plaza Suite 100, Irvine, California 92614 - Locationseo: 4551 Gencoe Ave Suite 100, Marina del Rey, California 90292 - Locationseo: 300 Tamal Plaza Suite 100, Corte Madera, California 94925 - Location seo: 2608 Victor Ave Suite a, Redding, CA 96002 - SiteMap, https://californiaonlinedivorceattorney.com/sitemap-1.xml We provide services to the following California counties: Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Imperial, Inyo, Kern, Kings, Lake, Lassen, Los Angeles, Madera, Marin, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Napa, Nevada, Orange, Placer, Plumas, Riverside, Sacramento, San Benito, San Bernardino, San Diego, San Francisco, San Joaquin, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tulare, Tuolumne, Ventura, Yolo County and Yuba County

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