Request Information - THEOCHARIDOU & ASSOCIATES LLC

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Theocharidou & Associates LLC Questionnaire

Name*

Surname*

Company Name*

Company Job Title*

Street Address*

City*

Zip Code*

Mobile Phone*

Home/Work Phone*

Email*

How did you hear about us?*

Is your case involving a potential legal dispute?*

Please fill up only if you choose (If so, please name all potential Parties/Entities)

Address of all potential Parties/Entities Street AddressAddress Line 2CityStateZIP Code*

Type of Claim/Inquiry (check all that apply)*

Do you have any scheduled meetings or deadlines?*

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Have you previously been a Plaintiff or Defendant in a Lawsuit?*

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Date*

Disclaimer and Notice

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Disclaimer and Notice

Theocharidou & Associates LLC Agreement*

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