New Client Individual - Nevett Ford Lawyers

NEW CLIENT – INDIVIDUAL OR JOINT PARTY

Please complete where the client is not already existing on Affinity and continue to a matter request form.

Phonebook ID (This party may be in the Affinity Phonebook but not yet converted to a client.)

Client type Client type Individual Joint party

First Name

Last Name

Title

Salutation

Postal address *

Street Address (If different to postal)

Phone (mobile)

Phone (landline)

Fax

Email *

Date of birth

Business Source *

If other

Industry Industry Accounting & Finance Government Health Legal Manufacturing Primary Industry Real Estate Retail Other

Client referred by

Email Lists (This client will be added to our marketing email lists for these areas) Email Lists (This client will be added to our marketing email lists for these areas) China-Based Commercial Conveyancing Family Law Migration Wills & Estates Workplace

Client Profile (This information will be used to target mail-outs, event information and other marketing initiatives - please choose from all relevant, not just those relating to the matter you will be dealing with) Client Profile (This information will be used to target mail-outs, event information and other marketing initiatives - please choose from all relevant, not just those relating to the matter you will be dealing with) Company Director Shareholder Trustee Business Owner Property Developer Commercial Landlord Commercial Tenant Buyer / Seller Commercial Property Buyer / Seller Residential Property Owners Corporation Employer (small) Employer (large) Employee Corporate Not for Profit Has children Same-sex relationship Blended family Relationship property Estate Planning Will Power of Attorney Partner Visa Business / Employer Visa Business / Employee Visa Adoption / Child Visa Visa Appeal Parent Visa Sponsorship US

Joint party (If this is a joint party, provide full name, address, phone numbers and email address)