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I can't change the direction of the wind, but I can adjust my sails to always reach my destination. - Jimmy Dean

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     New Client Form       

If you would like to know whether you may have a claim for compensation, please complete our New Client Form. Someone will contact you shortly to discuss the information you have provided. Submission of the Form does not constitute the formation of a solicitor-client relationship. Our initial consultation is free, and there is no obligation in completing this Form.

Full Name:
eMail:
Home Phone:
Cell Phone:
Bus. Phone:

Nature of the inqury: (check off all that applies)

Personal Injury
Motor Vehicle Accident
Malpractice
Other --
Please specify:


Description of the problem:

How did you hear about Tony Lafazanis?


Server's current date and time is: Wednesday March 10 2010 11:30


 
 
 
1250-180 Dundas Street West, Toronto, Ontario, Canada, M5G 1Z8.
Telephone: 416-979-1770. Fax: 416-977-0717 eMail: tony@tonylafazanis.com