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Law Firm / Company Registration (Info will be displayed in 'Find a Lawyer' Section)

*Indicates required field
Admin first name*:
(This is the first name of an admin)
Admin Last name
(Optional)
:
(This is the Last name of an admin)

Firm's General Information

Name of a firm
(Optional)
:
(This is the Name of a firm / Company)
Select a country*:
Select a State*:   Other than Indian State :
(Priority will be given to Select a State Dropdown if both the state fields are filled / selected.)
Address 1*:
(This is the 1st Address of a Company / Firm)
Address 2*:
(This is the 2nd Address of a Company / Firm)
City*:
(Enter the City, This will help when user Searches Lawyers in particular City)
Zip/Postal Code*:
(Enter the Zip Code of a City, This will help when user Searches Lawyers using particular zip code)
Firm Website Address
(Optional)
:
(This is the Website URL of Company (Ex. www.advocatesadvise.com))
Phone*:
(Include Country code and area code ex. 912512708401)
Mobile:
(Mention your mobile number on which user should be able to contact directly)
Enter your law
firm description:
*
:
(This will be displayed to User / Viewer.)
Contact Email ID*:
Password*:
Confirm Password*:
Validation Image:
Enter Validation string here*:
(This is for Robot Validation)
Lawyer's Registration
Number (Optional)
:
(This is an optional field, and this will not be displayed to User / Viewer, this is only for our confirmation.)
Upload Image
(Please Upload .gif, .jpeg, .jpg Image Only, and Image Size Should be less than 200 kb.)
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