Preston Mott, Lawyer, Online Law Office Form

Contracts Questionnaire

In order for us to assist you we need a little information to get started. We'll contact you for further details as required. This questionnaire is just a starting point.

Please enter the required information. You can tab to move between fields. Pressing the space bar will toggle the responses for the check boxes. Print off a finished copy and either fax, mail or drop it by our office at the address listed at the bottom of the form. Due to concerns we have for security of your personal information, we do not offer email as an option at this time. If you have any questions regarding filling out the questionnaire either e-mail us or call us at (250) 492-2425 (Call toll-free in B.C.: 1-877-492-2644).

Your Information
Your name:
Company:

Phone:		Fax:
Email:
Address:
City: Prov.: Postal Code:

Details Describe the general nature of the contract you wish drawn up or your problem with an existing contract? What should the contract do? Are there special considerations or circumstances? Please explain:
Who is the contract with? Is this a contract with: (check one) a company a private individual
Name:
Company:
Address:
Area Code:	Phone:
	Fax:
Email:
Our office will contact you on the next business day for information particular to your request.

Please print and fax, mail or drop off this form to:
Preston S. Mott
Mott Rutherford Welsh & Greig
#100 - 166 Main Street, Penticton, B.C., V2A 5A4
Telephone: 250.492.2425 Fax: 250.492.2451