Pop-Up Clinic Preliminary Questionnaire and Waiver

Name *

First

Last

How would you prefer to be addressed

Email *

Company *

Title *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Website / URL

Please explain your legal needs. Are there any other people or companies involved? *

Upload documents for the lawyer to review.

Click or drag files to this area to upload. You can upload up to 3 files.

Has another lawyer advised you on this matter? If so, please provide a summary of the lawyer's advice. *

Are you facing any deadlines? *

Release and Waiver

In submitting the above Pop-Up Legal Clinic Preliminary Questionnaire (the "Questionnaire"), I understand that the Fashion Law Institute does not represent clients or provide legal advice, but attempts to match members of the fashion community with volunteer attorneys and law student partners. The Fashion Law Institute does not guarantee that it will be able to find an appropriate attorney, nor does it accept responsibility for handling my case.

I authorize the Fashion Law Institute to release the information provided in the Questionnaire to Fashion Law Institute staff, volunteer attorneys and law student partners.

I understand that I am responsible for following up on the status of my request for assistance and for any costs associated with my case, such as filing fees.

By checking this box you are providing your digital signature. *

I UNDERSTAND AND AGREE TO ALL OF THE ABOVE TERMS