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Name (First & Last) :

Law Firm Name :

City :

State :

Position :

Number of Employees :

Number of Years in Practice :

Practice Areas :

Admiralty Law Aviation Law Bankruptcy Law Civil law or Common Law Class Action/Mass Tort Litigation Construction Law Consumer Law Criminal Law Employment Law Family Law Immigration Law Insurance Law Litigation Personal Injury Property Damage Auto Injury Product Liability Litigation Real Estate Law Social Security Disability Law Tort law Trusts & Estates Law Workers Compensation

Other :

Do You Currently Advertise? :

Do You Currently Work with an Advertising Agency? :

If Currently Advertising, how do You Advertise? :

TV Radio Billboards Print Media (newspaper/magazine) Direct Mailers Taxi Bus Social Media Digital/Web Google Ad Words Streaming Radio Streaming Video Streaming TV None of These All of These Other

If Other, Describe Below :

If currently Advertising, Do you feel your Advertising Dollars are Effective? :

We Offer a Variety of Traditional Advertising Services, Which Would You be Interested in?:

TV Radio Billboards Print Media (newspaper/magazine) Direct Mailers Taxi Bus None of These All of These Other

If Other, Please Describe :

We Offer a Variety of Digital Advertising/Marketing Services, Which Would You be Interested in?:

Digital Ads Website Development Google Ad Words Blogs SEO SEM Email Blast Content Offers Newsletters Custom CRM Web Videos Streaming Radio Streaming Video Streaming TV None of These All of These Other

If Other, Please Describe :

We Offer a Variety of Social Media Marketing/Advertising Services, Which Would You be Interested in?:

Facebook Page Facebook Ads Instagram Page Instagram Ads PPC Twitter LinkedIn Page AVVO Yelp Reviews Google Business Page Google Reviews Content Creation Vimeo YouTube None of These All of These Other

If Other, Please Describe :

Additional Services We Offer, Which of These Would You be Interested in?:

TV Media Buying Radio Media Buying Billboard Placement Graphic Design (Logo & other materials) Consulting Practice Management Public Relations Brand Building Website Analytic Reports Social Media Analytic Reports None of These All of These Other

If Other, Please Describe :

Phone Number :

Extension :

Type of # :

Work Home Cell

Email :

Notes / Message :

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Home
Client Login
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Home
Client Login
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Blogs
Intake Form

800.986.6669
[email protected]

Ft. Lauderdale | New Orleans | New York | Washington, D.C. | Chicago

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