What kind of Problem do you have?

DWI Possession Other

What do you want us to do about it?

Represent Me Call Me Get me Out of Jail Get someone else out of Jail Call my friend (Other) Other:

Have you ever been arrested before? Yes   No 

If Yes when and for what? 

Are you on parole or probation?  Yes No

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Contact information:

Name
E-mail
Tel
FAX

Please contact me as soon as possible regarding this matter.