Contact Person's Information
Person who will be primarily consulting with us
* First Name
* Last Name
* Phone Number
Please include country codes if outside the U.S.
Please include area codes if inside the U.S.
Email Address
Please include a valid email address if you have one.
Best Times to Reach You
Between 8 a.m. to 5 p.m. Eastern Time
Potential Client's Information
Person/Entity who will be the subject of our services
* Full Name
(person or company)
Residence/Headquarters Location
City, State and Country
Additional Potential Clients (if any)
If more than one, separate by commas.
* Full Name
(person or company)
Residence/Headquarters Location
City, State and Country
General Consultation Information
General Description of Help/Services Needed (If Known)
DO NOT PROVIDE CONFIDENTIAL INFORMATION HERE, BECAUSE WE HAVE NOT YET AGREED
TO REPRESENT YOU, AND WE MUST CHECK FOR CONFLICTS OF INTEREST.
If Pages need to be reviewed by Baker Donelson Immigration:
Number of Pages of Papers Needed to be Reviewed
How would your prefer to send these pages?
Do NOT send these papers to Baker Donelson Immigration until a consultation
has been scheduled and you are asked to send these papers.
Email Attachment
Fax
Courier
How would your prefer to pay for the consultation?
We charge $125 for a half hour and $250 for a full hour of
consultation. We will review any papers while on the phone with you. Please choose
below your method of payment. If you retain us within two weeks of your consultation
to perform services for which we have or agree on a fixed fee, we will credit the
cost of your consultation toward that fixed fee.
Check/Money Order
Send this form below, BUT also print and mail it with a
non-refundable check for $125 or $250, and we will consult for the time paid for.
Credit Card
Fill out the following information. Your submission of this form constitutes your
authorization for us to charge your card for the time spent in consultation with you,
at $250/hr. prorated in tenths of an hour (i.e., 48 minutes = 0.8 hr., x $250 =>
$200), with a $100 minimum. If you prefer not to submit your form using this secure
internet connection, please print this form and fax it to us at (423) 752-9518.
Type of card: ___________________________
Full Name on card:__________________
Card number: ________________________
Expiration date: ___________________
Billing address for card account:
Please mail or fax the completed form.