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Client Intake (Notarization)
First Name
Middle Name
Last Name
*
Home Address
*
Apt. No.
City, Town or Village
*
Province
*
Postal Code
*
Telephone No. (Home)
Work
Cell
Email
*
Occupation
Employer
DOB (MM/DD/YEAR)
Agreement
*
Agreement
I agree that Arcus Legal may store and make use of the information I have submitted on this form, for the purpose of providing the legal services I have requested.
Submit
