DESCENDANTS LITIGATION ATTORNEY RETAINER
For payment by Paypal/Credit Card
Complete form and submit (with payment)
THIS SECTION IS FOR THE CLIENT WHO THE PAYMENT WILL BE APPLIED TO:
Fields with * are required.
Name
BirthDate
Annual Payment
*
*
*
$100
$50
$20
$100
$50
$20
$100
$50
$20
$100
$50
$20
$100
$50
$20
$100
$50
$20
$100
$50
$20
$100
$50
$20
$100
$50
$20
$100
$50
$20
NAME OF CASE AND GROUP No:
(Note: Case name is the name of your ancestor that received the land grant) If you are a client in multiple cases, please list all.
Land Grantee :
*
Group No :
*
Land Grantee :
Group No :
Land Grantee :
Group No :
Land Grantee :
Group No :
THIS SECTION IS FOR THE PERSON SUBMITTING THE PAYMENT:
Name :
*
Phone No :
*
Email :
*
(abc@def.com)
Address:
*
City:
*
State:
*
Zip:
*
Date:
*
(XX-XX-XXXX)
Note: Descendants Litigation Attorney Retainer - Clients, please complete the form with your case name and group no. Please do not forget to continue to step 2 for payment process. Please allow 1-2 weeks for processing. Thank you.
Eileen McKenzie Fowler 2004 - 2021©
Home
|
About
|
Case History
by
Peal Media