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DIRECTORY LISTING ONLINE ORDER FORM

Please place my order for my Directory Listing in the Lawyers OnLine Legal Directory on the Internet.

1. Each Directory Listing is $149 per annum, payable in advance.

2. Each listing is subject to the terms and conditions in the Directory Listing Service Agreement.

Information to be Listed: 


Name:              
Title:             

Firm Name:         
Address:           
City, State, Zip:  
Telephone:         
Fax:               
E-mail Address:    
Law Concentration: 
                       (Maximum of three)

Ordered by:        



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Feel free to use the area below for any questions or comments.

(If you have filled in the "E-mail Address" box above, an acknowledgement of this order form, including the date that your listing will first appear, will be sent to you via e-mail. If not, you will receive your acknowledgement by regular mail.)





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