Law Offices of 

Client Intake Form

Please fill out this form with the information of the person requiring immigration assistance.

Personal Information:

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Employment:

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Family Members:

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Consultation fee is $250.00 for up to 1 hour in-office or $200.00 for telephone or video consultation. ($150.00 reduced fee for employees/dependents of The World Bank, IMF, IFC, IDB, PAHO and U.S. military/veterans)

Payment Options: