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REFER YOUR CLIENT

REFER YOUR CLIENT

If you would like to refer a client to our law firm and have us evaluate the case to determine the merits and value, please complete the following form. A representative of Marini & Associates, P.A. will contact you to discuss the case in detail and make arrangements to co-counseling the case or your involvement in this matter. Of course, we will not contact the client until we have spoken with you.

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Salutation:

First Name:

Last Name:

Email:

Business Title:

Mailing Address:

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State:

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Home Telephone:

Cellular Telephone:

Telefax:

Additional Information

 

The best time to contact:

Please contact me by:

Geographical Area:

 
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