Legal Document Preparer – Licensee Application

Licensee Name *

First

Last

Email *

Phone *

Which Wholesale Package Are You Interested In? *

Company Name *

Website / URL

Address

Address Line 1

Address Line 2

City

State

Zip Code

Years in Business

List the Cities in Which You Have Physical Offices

Estimated Percentage of Repeat Business

Estimated Percentage of Walk-in Business

Estimated Percentage of Referred Customers

Most Common Areas of Law Served *

Average Purchase Amount

The average dollar amount each of your customer spends on your services