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Power of Attorneys $50.00
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IF YOU MISS YOUR APPOINTMENT YOU WILL BE CHARGED AT $25.00 MISSED APPOINTMENT FEE PLUS TAX.

Please fill out the form below to receive a Power of Attorney For Property and a Power of Attorney For Personal Care. Bukhari Law Office always prepares both for the price of $50.00 and you will receive both documents. GST is extra.

You will be required to bring at least 1 bag of diapers to qualify for the discount.

 

Power of Attorney Questionnaire

Full Name :

Address :

City :

State/Province :

Zip/Postal Code :

Phone Number :

Fax Number :

*Email :

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

Do you agree to the Terms and Conditions plus $25.00 missed appt fee.

Yes

No

I wish to sign my documents on the following date and location.

Saturday November 8 in St. Catharines

Saturday December 6 in St. Catharines

Week Day Appointment in St. Catharines

Saturday November 29 in Toronto

Saturday December 13 in Hamilton / Burlington Area

Saturday November 22 in Hamilton / Burlington Area

Saturday December 20 in Hamilton / Burlington area

Contact cell number

I will be paying as follows:

ONLINE andI 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 Sponser?

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

I agree to bring in at least 1 bag of diapers

Yes

No

Questions/Comments :

 


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