PROBATE LAWYERS ASSISTANCE PROJECT (PLAP)

VOLUNTEER ATTORNEY ENROLLMENT FORM

Personal Information:

Full Name:
Last First M.I.

Law Firm Name:

Address: Street Address Suite #

City State Zip Code

Phone: ( ) Cell Phone: ( )

Fax: ( )

Arizona Bar #: Year First Admitted:

Email Address:

Foreign Languages Spoken:

I am available to provide consultations in the following areas (check all that apply):

Guardianship Conservatorship Probate Trust Matters

Mental Health Other:

Signature: Date:

Please return completed and signed form to:

Dyer Bregman & Ferris, LLC or Law Offices of Tracy M. Marsh, PLLC
Attn: Kelly L. Kral Attn: Tracy M. Marsh
3411 N. 5th Ave., Suite 300 10451 W. Palmeras Dr., Suite 205A
Phoenix, AZ 85013 Sun City, AZ 85373
Fax: (602) 257-4276 Fax: (623) 533-6263
Email: klkral@dbfazlaw.com Email: tracy@marshazlaw.com