Steven B. Bashaw, P. C. 

Information Request Form

You may use the following form to submit a question or a request for more information to the office of Steven B. Bashaw.  Mr. Bashaw will personally respond to inquiries via email or phone, but if you need immediate assistance we advise you to call our office.   Please be aware that the act of submitting this form to Steven B. Bashaw, P.C. does not create an attorney-client relationship, and that you are not entitled to have us treat the information contained in the form as confidential if no attorney-client relationship exists between us at the time that we receive the form. An attorney-client relationship cannot be created until we consider potential conflicts of interest and agree to that relationship. If you are interested in establishing an attorney-client relationship, we invite you to call or visit us for that purpose.

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
Other Phone
FAX
E-mail
Comments or Questions

If you would like more information about any of the following services, please check the corresponding box:

Real Estate   Real Estate Litigation
Transactions  Mortgage Foreclosure                                          
  

Revised: January 01, 2006