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Questionnaire

Please print out the entire questionnaire, fill out completely, and then mail or fax the completed questionnaire, along with a money order or pay online for $300.00 (Personal check not accepted)

PLEASE DO NOT:
ANSWER THE QUESTIONNAIRE ON LINE OR
E-MAIL QUESTIONS TO US.

Fax: (818) 543-5801

or mail to:

Law Offices of Michael J. Gurfinkel, Inc.
219 North Brand Boulevard
Glendale, CA 91203-2609
Attention: In-Take Department


If you wish to print out the questionnaire from our website
in pdf format, Click here

(Printout of the questionnaire requires Acrobat Reader 4.0)





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