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Get FL Atorney's Application Put Something Back (PSB)

9-5733 EXT. 2252 LAST NAME BAR NUMBER FIRST NAME M.I. BUILDING STREET FAX MR. M S. ROOM OR SUITE CITY OFFICE PHONE TITLE: STATE ZIP FIRM DO YOU HAVE LAWYERS PROFESSIONAL LIABILITY INSURANCE (E&O)? YES NO IF YES , COVERAGE AMOUNT FOREIGN LANGUAGES SPOKEN EDUCATIONAL DEGREES (OTHER THAN JD) I will participate in the following way(s): 1. I will accept a case; please check categories of interest or expertise below. 2. Enclosed is my $350.00 tax deductible "Buy-In" c.

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