Common use of Consultation Information Clause in Contracts

Consultation Information. Please circle your preferred method for a consultation: In-Person Telephone Skype Please list three available dates and 1-hour time blocks when you are available to speak: Will you be sending documents to review before the consultation? Y or N If yes, please describe Please briefly describe your legal issue: Please list the names of all other persons or entities involved: Payment Information Circle Choice of Payment: Check Money Order P a y P a l * Google Checkout** Credit Card *Payments via PayPal should be paid to xxxx@xxxxxxxxxx.xxx **Payments via Google Checkout should be paid to xxxx.xxxxxxx@xxxxx.xxx Credit Card Authorization Name on the Card: Billing Address: Phone No. on Account: _ Type of Card (Circle): MASTERCARD VISA DISCOVER AMERICAN EXPRESS Credit Card Number: Expiration Date: Security Code: I, , authorize Xxxxxxx Law, PLLC, to charge the amount of $250.00 on my credit card for the initial consultation. This is a one-time credit card charge and I do not authorize Xxxxxxx Law, PLLC to charge any other charges without my express permission.

Appears in 2 contracts

Samples: Initial Consultation Agreement, Initial Consultation Agreement

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Consultation Information. Please circle your preferred method for a consultation: In-Person Telephone Skype Please list three available dates and 1-hour time blocks when you are available to speak: Will you be sending documents to review before the consultation? Y or N If yes, please describe Please briefly describe your legal issue: Please list the names of all other persons or entities involved: Payment Information Circle Choice of Payment: Check Money Order P a y P a l PayPal* Google Checkout** Credit Card *Payments via PayPal should be paid to xxxx@xxxxxxxxxx.xxx **Payments via Google Checkout should be paid to xxxx.xxxxxxx@xxxxx.xxx Credit Card Authorization Name on the Card: Billing Address: Phone No. on Account: _ Type of Card (Circle): MASTERCARD VISA DISCOVER AMERICAN EXPRESS Credit Card Number: Expiration Date: Security Code: I, , authorize Xxxxxxx Law, PLLC, to charge the amount of $250.00 150.00 on my credit card for the initial consultation. This is a one-time credit card charge and I do not authorize Xxxxxxx Law, PLLC to charge any other charges without my express permission.

Appears in 1 contract

Samples: Initial Consultation Agreement

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Consultation Information. Please circle your preferred method for a consultation: In-Person Telephone Skype Please list three available dates and 1-hour time blocks when you are available to speak: Will you be sending documents to review before the consultation? Y or N If yes, please describe Please briefly describe your legal issue: Please list the names of all other persons or entities involved: Payment Information Circle Choice of Payment: Check Money Order P a y P yP a l * Google Checkout** Credit Card *Payments via PayPal should be paid to xxxx@xxxxxxxxxx.xxx **Payments via Google Checkout should be paid to xxxx.xxxxxxx@xxxxx.xxx Credit Card Authorization Name on the Card: Billing Address: Phone No. on Account: _ Type of Card (Circle): MASTERCARD VISA DISCOVER AMERICAN EXPRESS Credit Card Number: Expiration Date: Security Code: I, , authorize Xxxxxxx Law, PLLC, to charge the amount of $250.00 200.00 on my credit card for the initial consultation. This is a one-time credit card charge and I do not authorize Xxxxxxx Law, PLLC to charge any other charges without my express permission.

Appears in 1 contract

Samples: Initial Consultation Agreement

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