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1008 WALNUT ST.
SAN LUIS OBISPO
CA  93401

(805) 541-3777
(805) 541-5063 fax

Client Information Form

Please provide me, with as much detail as possible, the nature of your case. Provide, where possible, a contact telephone number. I prefer a telephone contact. You will more likely receive a reply where a telephone contact is provided. I will review your information and maintain its confidentiality even if you do not retain me. If I can help, I will contact you. I cannot guarantee that I will reply to all contacts.

Please understand that until there is a fully executed retainer agreement, I cannot commit to assisting you in any matter. Moreover, sending me the information does not toll any applicable statute of limitations.

Client Name:

Client Email:

Mailing Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Social Security Number:

Date of Birth:

Drivers License Number:

Occupation:

Employer:

Marital Status:

Spouse's Name:

Spouse's Occupation:

Spouse's Employer:

Best Way to Contact Client:

Next Court Date:

Reason for Consultation (Hourly Rate - $500):

 
 
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Legal Disclaimer Notice
Ilan Funke-Bilu maintains his law office in San Luis Obispo, California. He is admitted to practice in California and does not practice law in states other than California. The law office does not seek to represent any person solely by virtue of a visit by that person to this web site.
 
Materials on this web site have been prepared by Ilan Funke-Bilu for informational purposes only and do not constitute a solicitation or legal advice. The web site was prepared solely for general informational purposes to permit you to learn more about the services and the experience of the attorney, Ilan Funke-Bilu. Some links within this web site may lead to other sites. Ilan Funke-Bilu does not necessarily sponsor, endorse, or otherwise approve of the material appearing in such sites.
 
Transmission of the materials and information contained herein is not intended to create, and receipt thereof does not consitute formation of, an attorney-client relationship. No representation is made that the quality of the legal services available at Ilan Funke-Bilu's Law Office is greater than the quality of legal services performed by other competent lawyers. Hiring a lawyer is an important decision that should not be based solely upon web site information, email or advertisements. This web site is not a substitute for legal advice from qualified counsel. You should not rely on this web site as a source of legal advice.
 
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