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Name *

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Last

Email *

Phone *

Text No *

Address *

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City

State

Zip Code

Cal Bar Number *

Have you been disciplined by the Bar? *

Explanation of Bar Discipline *

Jurisdictions *

Areas of law you will cover *

Are you willing to make Remote appearances anywhere in California? *

Are you willing to make in person appearances? *

What cities and/or counties can you appear in? *

What cities and/or counties do you REFUSE to appear in? *

Do you make appearances for another service now? *

Which Service(s) *

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