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$300 Per Year For Your Firm's Listing On All
Cities or Towns Within Your County

ATTORNEY LISTING APPLICATION

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Application, (enter date) dated , by and between:

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PO Box 547
Grahamsville , NY 12740

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By submitting this Application together with payment of $300.00 for one year for each of the above listed county legal referral advertisements. Applicant is requesting for Legal Referral Network to publish advertising in the county or counties selected.

The publication period on Legal Referral Network's web site listings is twelve (12) calendar months commencing when payment is received by Legal Referral Network from the Applicant.

Applicant cannot be removed from their location(s) as long as their account is in good standing with Legal Referral Network.

The Applicant requests Legal Referral Network to have the Applicant's advertising published in the county or counties specified, subject to the terms.htmand conditions above.

Please click this box to digitally sign.  Enter your name:

"by digitally signing this application you are agreeing to have payment sent
within 24hrs of this signed application".


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