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Legal Corner Sponsor Signup

This form is only to be used by licensed attorneys that are wishing to be  SeniorMag Legal Corner sponsors.  Please fill out this form to the best of your ability.  Fields that are in RED are required.  All others are optional but highly recommended.  No payment is due now and you will be sent an invoice by EMAIL allowing you to pay securely online or print it and send in via company check.  By submitting this form, you agree to the terms.

Member Sponsor Annual Fee: $249.00

SeniorMag Legal Corner

 

Please provide the following contact information:

Full Name
Degrees
Law Firm
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
FAX
E-mail
Website 

Law school: 

Year graduated: 

Date admitted to bar: 

Initial consultation fee:   
If N/A is chosen, no entry will be shown

Areas of specialty (Choose up to eight):

Age Discrimination  Healthcare law 
Arbitration  Insurance law
Auto accidents     Investment 
Banks and credit law Landlord/Tennant 
Bankruptcy (Consumer) Mediation  
Civil Rights  Medical malpractice
Consumer law Pension/benefits 
Contract law Personal injury
Custodial law  Product liability
Elder Abuse Real estate
Elder law   Small Business 
Employment Social Security/Medicare/Medicaid
Estate planning Tax law
General practice Wills, trusts, probate
Grandparent rights  Wrongful death - accident

Personal message to be located at the bottom of your page (if any). This text allows you to further identify your capabilities and or experience.  You are not limited in the amount of text that you may provide, but for the sake of brevity and reader attention, it is suggested that you limit the text to 1000-1500 characters:


Will a digital picture be provided for your profile? 

If yes, you will be contacted to provide your image. 

By submitting this form, you agree that all information provided is accurate to the best of your knowledge and you agree to the terms (link opens new window).  You will receive your invoice via email and you will be able to pay securely online with our partner, Chase Financial Services, or by company check via postal delivery.

 

 

 

 

 

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