Please complete the following form to request service from Friedman, Framme & Thrush. Please complete and submit the following information to request service from our firm. IF YOU ARE UNABLE TO SUBMIT, PLEASE REVIEW THE FORM AND CONFIRM ALL REQUIRED FIELDS ARE COMPLETE. First Name(Required) (Required)Middle Name Last Name(Required) (Required)Are you a LegalShield member?(Required) Yes No Your Contact InformationStreet Address(Required)Please include your complete street address including city, state and zip code. (Required) City(Required) (Required)State(Required) (Required)Zip Code(Required) (Required)Email(Required) (Required)Primary Phone Number(Required) (Required)Secondary Phone Number Your Legal MatterIntake Number If you have called about this matter previously, please provide the intake number we gave you.Your Legal Matter(Required)Please provide a brief description of your legal matter. (Required)Name of Opposing Party(Required) Not including yourself, please enter the name(s) of the other individual(s) involved in your legal matter. If the opposing party is a business, please include the business name and the name of the owner. If you do not know the name of other individual or business, please explain the nature of the matter. (Required)Location of Opposing Party If known, please enter the city and state where the opposing party is located.Consent(Required) I agree to the privacy policy.The use of the Internet, email or online contact form to communicate with Friedman, Framme & Thrush, P.A. or any individual member of the firm does not establish an attorney-client relationship. Do not send confidential or time-sensitive information via www.fftlaw.com or the email contact forms on www.fftlaw.com. Whether you are a previous client or new to the firm, Friedman, Framme & Thrush, P.A. cannot represent you on a new matter until we determine there is no conflict of interest. Δ