Potential Client Information Form First Name Last Name Email Address Phone Street Address City, State, ZIP Contact Source Description Completing this form does not create an attorney-client relationship with Ferguson Braswell Fraser Kubasta PC. Our professional obligations require us to perform a conflicts check before undertaking any such representation. No attorney-client relationship exists or should be assumed as a result of this communication, nor does anything contained on our website constitute legal advice. Completing this form does not create an attorney-client relationship with Ferguson Braswell Fraser Kubasta PC. Our professional obligations require us to perform a conflicts check before undertaking any such representation. No attorney-client relationship exists or should be assumed as a result of this communication, nor does anything contained on our website constitute legal advice. I understand and agree Submit * All marked fields are required and must be completed to submit this form.
