CLIENT INTAKE FORM Please enable JavaScript in your browser to complete this form.Client InformationFirst Name *Last Name *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodePhoneEmail *Responsible Lawyer (if known)Dana GordonSamuel SukSilas PolkinghorneSean XuPlease attach a copy of your driver's license, BC Services Card or other photo ID * Click or drag a file to this area to upload. Company InformationCompany NameCompany AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeCompany WebsiteSubmit
