Contact Form: The Law Offices of Valerie K. deMartino

Valerie K. deMartino
4326 Atlantic Ave., Long Beach, CA 90807
ph: (562) 628-0287 fax: (562) 424-1659 send us an

A REQUEST FOR INFORMATION and E-MAIL CONTACT FORM
to be sent to the Law Offices of Valerie K. deMartino

" Tell us About You "

Name - Email Address

Street Address

City, State and Zip

Best day / time to reach you Best way to contact you

Phone:
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FAX:

E-Mail

" How did you find me ? "

from another internet site

from an internet search engine

referral from a former client

referral from a friend

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from an internet directory link (e.g. FindLaw)

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another attorney

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" What is the nature of the matter for which you are seeking assistance ? "

Business / Corporate

Probate / Converatorship

Litigation

Immigration

Personal Injury / Malpractice

Criminal

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About the Incident / Accident...

date occurred

Has a lawsuit been filed ? No Yes; on (date)

" Is there a hearing date set for this matter ? "

No
Yes

on (date) at (time)

Where ? (court / dept.)

What is the hearing for ?

" Are you currently represented by an attorney ? "

No
Yes
(name)

(phone)

Why do you not want to continue the matter with them ?

" How may I be of assistance to you in this matter ? "

Thank you for your interest in this firm.
Your Request for Information will be answered at our earliest opportunity.

CAUTION: This site is designed to assist you in making initial contact with the firm. No attorney-client relationship is created by your use of this form. We are only licensed to practice law in the State of California and cannot advise you on the laws of other states. Use of this form does not guaranty that the firm will represent you or that an attorney will appear at any pending hearing. If you have a court matter with a hearing date in the near future, you should contact an attorney by telephone. This website is not intended to be advertising and we do not wish to represent anyone desiring representation based upon viewing this website in a state or other jurisdiction in which this website fails to comply with all laws and ethical rules of that state.

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" Tell us About You "
Name - Email Address
Street Address City, State and Zip
Best day / time to reach you	Best way to contact you
	Phone: (include area code and extension) FAX: E-Mail


" How did you find me ? "
from another internet site from an internet search engine referral from a former client referral from a friend	Bar Association referral from an internet directory link (e.g. FindLaw) referral from a current client another attorney



Other source
" What is the nature of the matter for which you are seeking assistance ? "
Business / Corporate Probate / Converatorship Litigation Immigration	Personal Injury / Malpractice Criminal Estate Planning Intellectual Property



Other
About the Incident / Accident...
date occurred
Has a lawsuit been filed ?	No Yes; on (date)
" Is there a hearing date set for this matter ? "
No	Yes on (date) at (time)
Where ? (court / dept.)
What is the hearing for ?
" Are you currently represented by an attorney ? "
No	Yes (name) (phone)

Why do you not want to continue the matter with them ?
" How may I be of assistance to you in this matter ? "
Thank you for your interest in this firm. Your Request for Information will be answered at our earliest opportunity. CAUTION: This site is designed to assist you in making initial contact with the firm. No attorney-client relationship is created by your use of this form. We are only licensed to practice law in the State of California and cannot advise you on the laws of other states. Use of this form does not guaranty that the firm will represent you or that an attorney will appear at any pending hearing. If you have a court matter with a hearing date in the near future, you should contact an attorney by telephone. This website is not intended to be advertising and we do not wish to represent anyone desiring representation based upon viewing this website in a state or other jurisdiction in which this website fails to comply with all laws and ethical rules of that state.