Lawyer Support Services of
Helping Lawyers Serve
Standard Lawyer Listing
Lawyer’s Name: ____________________________________________
Firm Name: ____________________________________________ (optional)
Address: ____________________________________________
City, State, Zip: ____________________________________________
Telephone Number: ________________
Email Address: ____________________________________ (Must have valid email address)
Fax Number: ________________
County: ________________________________________ (Basic Listings include 2 Counties, Upgrade to Premium for 5 Counties)
How did you hear about us? ______________________________________________________________________
Practice Areas: (Basic Listings include up to 2 Practice Areas. Upgrade to Premium, for 5 Practice Areas) Please Circle 2.
Adoption
Agriculture
Bankruptcy
Business Law
Criminal Defense
Divorce
DUI – DWI
Elder Law
Employment Law
Entertainment
Environmental
Estate Planning
Family Law
General Litigation
Immigration
Information Technology
Intellectual Property
Medical Malpractice
Personal Injury
Real Estate
Social Security
Taxation
Technology – Internet
Traffic
Trial
Trusts & Estates
Wills & Probate
Worker’s Compensation
Wrongful Death
(If your practice area is not listed, let us know, and we will look into adding it)
Description of Practice: __________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________
(limited to 200 characters)
___ www.FindLawyersinMyState.com $ 325.00 FREE
___ Your state specific website, e.g. FindIllinoisLawyers.com
___ Enclosed is a check in the amount of $ 325.00 FREE
If you would like to ugrade to a Premium Listings, you will get 5 Practice Areas, 5 Counties, detailed information about you and your practice, a link to your website, a secure contact form, a map to your location, the ability to list multiple locations, your office hours, and more. During our FREE Stand Listing Promotion, you can upgrade to a Premium Listing for $3500.00 for one year, a $550.00 value.
___ I wish to Upgrade to a Premium Listing and to pay by Credit Card
First Name as it appears on your card: ____________________
Last Name as it appears on your card: _____________________
Card Type: Visa MasterCard Discover American Express
Card Number: _______________________________________
Expiration Date: ______________________________________
Card Security Code: __________ (sometimes referred to as CVV)
Card Billing
Address: ______________________________________
City:
Telephone Number: _____________________
By Signing below I agree to $350.00 to be charged to my above credit card.
Authorized Signature: __________________________________
If your firm would like listings for all its lawyers, please call us for volume discounts at 815.233.6203
By signing below, I agree to the Terms of Service. See website for Terms of Service.
_______________________________________ ______________
Signature Date
Please fax to 815.235.8660
© Lawyer Support Services of
Questions, please call us at 815.233.6203
Need website design and hosting, please contact us.