NEWSLETTER SIGNUP
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 Please fill out the form below and then press SUBMIT

 Life Insurance and RRSP's and other such financial products that have designated beneficiaries do not need to be referred to in the Will.

If you are not sure how to answer the questions below please refer to the help menu for Wills on the left hand side.

You are also welcome to speak to Mr. B. directly on the phone at 905 680 1912 or email him at sebukhari@gmail.com with any questions that you may have prior to filling out the registration form.

Mr. B. tries to meet each registrant personally at the time of signing and goes over the Will and Power of Attorney prior to signing and answers any questions that a client may have and last minute changes are also possible at no additional cost although it is preferred to have documents prepared properly in advance.

If you missed Reading the Terms and Conditions click here and use your back button to return to this page.

 If you enter an invalid return email address your submitted form will not reach Bukhari Law Office due to spam filtering. Please double check the email address you type in. When you submit your Form you should receive an instant acknowledgement by email. If you do not receive an email acknowledgement then check your TRASH and if nothing is there then you have probably entered an invalid email address which will result in your submitted form being automatically filtered out and discarded.

Singl Will / POA Registration form

Full Name :

Address :

City :

Zip/Postal Code :

Phone Number :

Fax Number :

*Email :

Fill Out Wills Questionnaire First

Please provide the name of your Primary Executor

What is the relationship between you and your Primary Executor ?

Please provide the name of your Secondary Executor

What is the relationship between you and your Secondary Executor ?

Provide details of any gifts to be distributed prior to division of your main estate ?

Provide details of who receives the bulk of your estate?

If the person(s) named above are not alive who inherits ?

Name the guardian for your children under age 18 ?

Now Complete Second Stage - Power Of Attorney Questionnaire

Full name of person receiving your Power of Attorney

Provide name of your alternate Power of Attorney if first person named cannot act

Are joint signatures required if you have named two persons as Attorneys ?

yes

no

Is the power of Attorney limited ?

yes

no

If you have limited the power of Attorney please describe the limits below

Indicate the Wills / POA Package you are eligible for

Single Parent / Senior Citizen / Disabled Individual $ 100.00 plus tax and donating 2 large jars of Peanut Butter

All other Single Registrants $ 200.00 plus tax and donating 1 bag of groceries

Do you agree to the Terms and Conditions plus $50.00 missed appt fee.

yes

no

I wish to sign my documents at the following location.

Week Day Appointment in St.Catharines

Weekend Appointment in Stoney Creek

Weekend Appointment in Toronto

Contact cell number

I will be paying as follows:

ONLINE and I want an Autographed Chasing Good Book on my signing date

ON SIGNING DATE as I do not want an autographed Chasing Good book on my signing date

Email me details on same day email Legal Services

Yes

No

Would you like to receive a brochure on Estate Planning from our Sponsor ?

yes

no

Can our Sponsor contact you for a free consultation on Estate Planning ?

yes

no

I want priority processing and will Pay Online Immediately

Yes

No

Questions/Comments :

 


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