Intake Questionnaire

Please fill out this form with as much detail as possible to begin your assessment with AVIOU Law Firm. Or get started by completing our client intake form using this link.

If you are completing this form on behalf of another person or organization, please ensure you provide the relevant information for the subject of this inquiry. If you believe this matter will require a joint retainer, please provide both.

First Name

Last Name

Phone

Street Address

Address Line 2

City/Town

Postal / Zip code

Region/State/Province

Birthday

Employer & Occupation

How Can We Help You? Please provide as much detail as possible

* I certify that the information contained herein to the best of my knowledge is true and correct. The data subscribed is provided for the SOLE and ONLY purpose of my FREE assessment regarding my eligibility to immigrate to Canada. I authorise the verification of the information provided by me as to my employment and other details that AVIOU Law Firm may deem pertinent. I hereby consent to receiving correspondence from AVIOU Law Firm regarding my eligibility assessment and any Canadian immigration news that AVIOU Law Firm believes may be of interest to me at the e-mail address provided. I understand that I have the option of withdrawing my consent at any time.

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Intake Questionnaire