| I am: |
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| Full Name: |
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| Address: |
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| For a faster response, please provide your Email Address.> |
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| Email: |
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| I am currently incarcerated (in prison). |
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No |
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| My Financial Means: |
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I am seeking a Christian attorney for legal advice/consultation, and: |
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I have the financial means to pay for legal services.
I am not able to pay for legal services. |
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| My legal problem deals with: |
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| Type of Case: |
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| Location in which I need an attorney: |
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| Same as above. |
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| City: |
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| County: |
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| State: |
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| Zip Code: |
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| If City above is a small town, list the closest large city: |
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| City 2: |
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| Please provide a SHORT narrative about your situation: |
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| For example: I am going through a divorce; I am being charged with stealing;
I am being sued for a car accident, etc. You must provide this additional
narrative or we will NOT have enough information to be able to provide you with a referral. |
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| Narrative: |

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| Via postal-mail or Email (if you provided an Email address), you will receive the name or names of Christian Legal Society
attorney members who are in your required location and who specialize in the legal area you selected.
If none are available, please follow the instructions that will be included for contacting other attorneys
and their colleagues. |
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| Thank you for using our on-line attorney referral request form. |
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