Dufford Waldeck New Client Form

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970-241-5500

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NEW CLIENT APPLICATION FORM

NEW CLIENT APPLICATION FORM

Thank you for your interest in Dufford Waldeck. This form is used to collect information about potential new clients for internal purposes only. The information you provide will be held as private and not released to any third-parties.

How did you hear about us?

Name of referring person

Your Address

Please choose the areas of law (check all that apply). We CANNOT assist with criminal or family law. * Required

Business/LLCs/Corporate/Commerical/M&A

Conservatorship/Guardianship

Contract/PreNup

Estate Planning/Wills/Trusts/Probate

Landlord/Tenant/Eviction

Litigation

Municipal/Goverment

Real Estate/Easement

Water/Oil & Gas/Natural Resources/Environmental

Other/Unkown

Briefly tell us about your legal issue. Please do not provide any confidential information until a formal Attorney-Client relationship has been established between you and Dufford Waldeck.

If there are adverse parties in your dispute, please list them here:

When is a good time to contact you between 8:30 am and 5 pm? We'll do our best to call you at this time.

I understand that filling out this form does not make me a client of Dufford Waldeck. Any information provided above may not be confidential or privileged.

Dufford Waldeck requires all new clients to pay a minimum of $700 as a retainer. If you decide to proceed with your legal issue, the attorney will bill you at their hourly rate.

Filling out this form is just the first step in our new client intake process. Our intake coordinator will call you to discuss the steps necessary to establish an attorney-client relationship.

By providing my phone number to Dufford Waldeck, I agree and acknowledge that Dufford Waldeck may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP”. For more information on how your data will be handled please see our privacy policy below: Privacy Policy: No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

Thanks for submitting your New Client Intake Form. Our Intake Coordinator will be contacting you soon.

Dufford Waldeck

744 Horizon Court, Suite 300
Grand Junction, Colorado 81506

510 S. Cascade Avenue

Montrose, CO 81401

dwmk@dwmk.com

970-241-5500

Office hours 8:30 am to 5:00 pm daily, other than holidays.