Intake form

Help us serve you better

Name *

Email address *

What is your primary legal issue?

Are you seeking legal services for an individual or a business?

What is your preferred method of communication?

Please select at least one option.

Phone

In-Person

Please provide a brief description of your legal situation.

What is your location?

What is your preferred appointment date and time?

Which service or services are you interested in?

Please select at least one option.

Legal consultation

Contract review

Dispute resolution

Service title 7

Service title 8

Additional questions or comments

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Ahmed Eissa - Legal Advisor