(Incoming Call Report)
 
 
  Phone: 1(609) 225-6090
Toll Free: 1(800) 631-5293
Fax: 1(609) 939-0248
Email: info@neillawpractice.com
Email: Durann@neillawpractice.com
Law Office
3123 Atlantic Ave, Ste. 200
Atlantic City, NJ 08401
   
 
   
  Name, Inter Client first and last name.
  Mandatory 
   
   
   
  Phone number, home and cell if possible.
  Mandatory
   
   
   
  City / County / Charges are in.
  Mandatory
 
   
   
   
  How did you here about us:  Word of mouth, Letter,      
  Internet–searchRadio, Billboard,  Referral,   TV,  Print–Ad         
  Mandatory
   
   
   
  Case Type: Criminal,   DUIPersonnel–InjuryCivilDivorce  
  Workers–Comp,   Traffic,   Family,   Bankruptcy   
  Mandatory
 
   
   
   
  Injury Type if applicable, briefly describe injury.
   
 
   
   
   
  What lawyer does the client prefer: Durann Neil, John Stein
   
   
   
   
  Court Date:
   
   
   
   
  Client Address.
   
 
   
   
   
  Case details or notes.
   

 

   
   
   
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