Sample -form

Contact Information

Name

Primary Email Address

Alternate Email Addresses

Address

Address

Company Information

If no company, please enter your name
What is your Job Title? Founder? CEO? *The* Boss?
Is your company incorporated in Ohio? If not, what state is the company organized or incorporated in? Type “None” if the company has not yet been formed.
Are you currently involved in, or do you anticipate becoming involved in, negotiations, disputes, disagreements, or any adversarial matters with another party (person or company)? If so, please provide the name(s) of the person(s) and/or company(ies) involved.

Additional Details

Were you referred to our firm?
Billing Contact
If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?

Birthday

We’d love to celebrate you! šŸŽ‚
Preferred Payment Method

If you wish to upload documents, please send them directly to document@activate.law, or you may share them separately once we’ve connected with you.

See template

Subject: Document Submission

Body:
Company Name (if none, use your name):
Name:
Email address: