CONSULTATION REQUEST

We would like to help you realize your immigration goals. Prior to scheduling a personal or telephone consultation, please complete the following questionnaire. The information submitted will be kept strictly confidential. Please answer as thoroughly as possible.

There is a $350 charge for a telephone or in-office consultation. Payment may be made by check or credit card.

To contact the attorneys directly, please click here.

To which attorney do you wish to make your inquiry:

TO:

About You

Title (Mr., Mrs., Ms., Dr., etc.)

First Name

Middle Name

Last Name

Maiden Name

Suffix (Jr., MD, JD, PhD, etc.)

Marital Status

Sex
	Male Female
Birth Date (DY/MO/YEAR), e.g. (04/12/1974)
	//
Birth City/State/Country

Address (Residence)

Mailing Address

Telephone

Email Address

Your Nationality

How did you how about us?

Have you invested in a business in the USA before? No Yes

Are you interested in obtaining a Green Card through an investment? No Yes

If so, how much money do you have to invest?

Briefly, describe your situation and what you would like for us to do for you.

About Your Most Recent Employment

About Your Immigration History

Employer

Address (City/State/Country)

Occupation/Position

Dates employed (MM/YYYY)
	to
How many years of experience do you have in that occupation or position?

Your Current Immigration Status

Have you every applied for Permanent Resident Status?
	No Yes If YES, please give date and place of filing and final disposition of your case.
Have you ever been arrested and/or convicted of a crime?
	No Yes If YES, give date & place and brief explanation.
Have you ever been deported from the United States?
	No Yes If YES, give date & place and brief explanation.
Do you have a parent or grandparent who has been or is a U.S. citizen?

Acknowledgement (please read and type in your full name as a signature):

(Require Signature):
Yes, I have prepared the answers to these questions to the best of my ability, and I believe them to be true and correct.

I understand that submitting this form does not create any obligations for myself or the Attorney. I further understand that submission of this form does not create an attorney-client relationship and that Attorney is not obligated to schedule a consultation with me.

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