Focus Group Submission

Please fully complete and submit the form below. Someone from our firm will be in touch with you if you are a candidate for an upcoming focus group.

First and Last Name*
E-mail Address
Phone*
Age*
Please enter a number from 18 to 100.
Highest Level of Education*
Occupation (indicate if retired and state prior occupation)*
Disclaimer*
- I am not a convicted felon.
Disclaimer*
- I confirm the statement below.
I am not a current client of this firm. Nor am I an adverse party to any matter involving this firm, associated with any adverse party, and I do not anticipate being an adverse party or associated with an adverse party in the future.
Disclaimer*
- I have read and understand the disclaimer.
The use of this form to solicit information pertaining to your possible involvement in a future focus group put on by our firm. You understand that submitting this information does not establish an attorney-client relationship.