PHIL WEAVER

ATTORNEY AT LAW

P.O. Box 2106

Whitney, TX 76692

Email: [email protected]

Tel: (254) 694-7797

Fax: (800) 991-3024

If you wish to contact me about a legal matter and are unable to call the office to set up an appointment for an "in person" consultation, please print and complete the following document and send it to me:

BY US MAIL: Phil Weaver, Attorney at Law, P.O. Box 2106, Whitney, TX 76692, or

FAX it to me at: (800) 991-3024, or

SCAN it and EMAIL it to me at: [email protected]

Subject to my schedule, my secretary will then try to set up either an in person appointment or a telephone consultation with you.

NOTE: All appointments and consultations are subject to a $50 consultation fee except honorably discharged veterans and/or their widows.‚Äč

Name________________ Address_________________________________ Phone______________ E-Mail_________________

Occupation/Employer______________________________ Phone _______________ Spouse ____________________________

Other Party _________________________ Address/Phone _________________________________________________________

Do you have a criminal record: (Yes) (No) (Any felony) Explain in detail: _______________________________________________

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I wish to speak to you about the following legal matter:

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Signature ________________________________ Date ___________________________