Mayzel Law Group
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Consultation Form
 

The form below must be completed before we can schedule a telephone consultation with you. The information submitted with this form will be kept strictly confidential.

Once we have received your completed form, we will contact you so that we may schedule a telephone consultation. Our fee is $200.00 for a half-hour consultation. The consultation could be scheduled upon the request is submitted based on availability. Payment can be made by check or credit card (Visa, Master Card, or Discover). Your consultation will be deducted from your total fee if we are hired to represent you at the time of the consultation. Our office will provide further instructions on payment when the appointment is set.

PLEASE NOTE: IF YOU ARE CONCERNED ABOUT SECURITY,
PLEASE PRINT THIS FORM OUT AND FAX IT TO US AT 973-258-0048.

Briefly describe what you would like to discuss with us.

Personal Information
Email Address
Family Name
First Name
Middle Name
Marital Status
Sex

Address Information

Street and Apt. No.
City
State
Zip Code
Home Phone
Business Phone
Fax Number

Please indicate the most convenient time and days for us to contact you

Time:              Days:

PLEASE READ THE FOLLOWING AND CHECK THE BOXES, IF YOU AGREE,
BEFORE SUBMITTING THIS FORM

Yes, I understand that a telephone consultation is not free and is charged as described above. I further understand that submission of this form does not create an attorney-client relationship and Isabella Mayzel, Esq. is not obligated to schedule a consultation with me.