| 1.
GENERAL INFORMATION |
|
Date of Contact
|
P.
O. Box
|
| Name
of Client or Correspons
|
Email
|
Fax
|
|
Name of Company
|
Gerli & Co. Lawyer Contact
|
Person or
Company that refer
with Gerli & Co.
|
| Phones
|
Physical Address
|
| |
| 2.
HOW DO YOU KNOW OUR LAW FIRM or SERVICES? |
|
Magazine
Website
Directory
Others |
|
|
| |
|
|
3.
PERSONAL REFERENCES
(Preferably from a recognized bank, accountant
or Law Firm) |
|
|
| Bank Accountant or Law Firm
|
Relation with your referrer
|
| 4.
PRINCIPAL ACTIVITY OF THE COMPANY |
|
|
|
The information contained in
this form is protected under the professional confidentiality
laywer / client act which is grounded
on Decree No. 468 of 19 Sep.
1994, that imposes the obligation to have such information
on clients. |
