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Bashyam & Spiro, LLP provides consultations in person, by telephone or via the Internet. If you wish to set up a consultation, we have provided you with this questionnaire to assist you in communicating relevant information to us. Once you have completed the questionnaire, please contact us, and we will already have the preliminary information we need to assist you and make the consultation fast and efficient. If you are concerned about security, you may fax this form to us at (919) 833-8171.
Briefly describe what you would like us to do for you.
Family Name
 
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Middle Name
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Home Phone
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Email Address
 
PLEASE READ THE FOLLOWING ITEMS CAREFULLY AND CHECK THE BOXES, IF YOU AGREE, BEFORE SUBMITTING THIS FORM