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Job Information

Job Type *Video capture of:
Desired Date *
Desired Start Time *HHMM
Estimated Duration

Client Information (Billing Address)

Please enter billing information only in this section. Location information will be entered in the Job Location Information section.
Law Firm Name
Hiring Attorney Name
Billing Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Contact Name (will be called one day prior to confirm)
Contact Email
Contact Phone

Case Caption Information

Please provide us with a copy of the case notice.
I plan to provide the copy of the case notice via:
Upload (see below)Email to office@legalvideosculptors.comFax to (317) 845-5150
Upload your document here:
If no notice or caption is available, please fill out the following for billing and media labeling purposes:
Case Data
Plaintiff
Defendant
Cause Number
Court of Pleading
Witness Name

Job Location Information

Office Name
Job Street Address
Job Suite #
City
State
Zip Code
Location Contact Name
Location Contact Phone
Coupon Code

Verification

Please enter any two digits *Example: 12
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