*IMPORTANT Before we begin, the Firm must determine whether   there is a conflict of
interest with an existing client.  Therefore, you must provide your name, address and
telephone number.  If there is a conflict, the Firm will be unable to give you any legal advice
and you should seek the advice of other counsel.

           (* indicates a required field) 

* First Name

* Last Name

* Street/P.O.Box


* City

* State

* Zip Code

* Telephone




        Your area(s) of legal concern:

        How did you find Attorney Eger:

          If Referral or Other, please specify :

        Please explain your legal concern below:

Optional Information:

          Relationship Status:      Single    Married     Divorced  Widowed

          Children:       # of Children?

           Child Support Services:     Do you need child support services?

          Residency:    Do you own or rent your home?

          Amount of Mortgage/Rent?

            US Citizen or     Other

          Employment:     Occupation 

          Annual Income? 

          Estate:      Do you have a Will/Trust or Estate Plan?  Yes   No

          Bankruptcy:    Have you ever filed for Bankruptcy?  Yes   No

          How much debt do you have now?