Prospective Client Information Form

Please answer the following questions in the space provided:
* Required fields

* First name
* Last name
* Email:
* Phone Number:
* Are you currently a Northwestern student or alum?:   No   Yes

What is the name of your business?

Is your business already in operation?

Please briefly describe the nature of your business.

If already operational, have you set up a legal entity?
If so, what is the legal entity chosen?

Do you have a web site for your business?
If so, what is the web site address?

Please explain the legal services you request.

Do you have a time frame in which you need legal assistance?

How did you hear about our services? Did someone specifically recommend us to you?

Additional Information: