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 ?
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
Would you like to receive a brochure on Estate Planning from our Sponser?
Can our sponsor contact you for a free consultation on Estate Planning?
I want priority processing and will Pay Online Immediately
I agree to bring in at least 1 bag of diapers
Questions/Comments :