Business Legal Retainer Form

A. Kindly provide accurate answers (ONLY):

Surname, First Name, Middle Name
Present Stage of Business:
(Please tick appropriately)
How old is your Business at the moment
State three (3) major things why you think you need a Lawyer for:
(Click the + icon to add new rows.)

Business Details:

Type of Business or Company:
Is the Business or Company registered with the Corporate Affairs Commission?

Details of the Business or Company (if registered)

Branches: (if any)
Details: (Names)
Present Challenges:
Type of desired Retainer
Social Media Handles: (if any)
I hereby state that the above information provided are to the best of my knowledge, true and accurate and by filling this Form I hereby request for a Legal retainer services for myself and/or on behalf of the company.(Required)
This field is for validation purposes and should be left unchanged.