Legal Services Intake Please complete this intake in its entirety in order to help us determine the best way that we can assist you. We will be in contact with you within 24-48 hours. Check your spam/junk mail if you don't see an email from us within 48 hours. First Name* Last Name* Email* Phone*Primary Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code (If not yet formed, please provide your home address.)How did you learn about us?* I was referred by a friend or colleague. I am a client of Small Business Development Center - Bronzeville Instagram Facebook LinkedIn I am responding to the firm's newsletter. I googled and landed on the website. Check all that apply. This information helps us make sure that we continue to show up and provide resources in the places where our clients hang out.Who referred you?* First Last Please describe the problem that you need us to help you solve.*What is most important to you when selecting a law firm?*A legal partnerThe costsImmediate availabilityWhich of the following services reflects your most immediate need?* Business Formation Cannabis Legal Counsel (Illinois Only) - Intellectual Property, Business Transactions, Marketing and Advertising Contracts Copyright Trademark Other Legal Counsel What is the name of your business or organization?* Is the business registered with your state?* Yes No What is your website url? (If you don't have a website, enter "n/a").* What is your primary industry?* When are you looking to move forward with services?* MM slash DD slash YYYY A Getting To Know You call or meeting is appropriate at this time if you're seeking legal services within the next 14 days. NameThis field is for validation purposes and should be left unchanged.
