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Genova Notary Professional Services

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Legal Service Provider Directory Application

Fill out this form to register as a legal service provider in FAIRRE's & CIRC's legal directories.

Office/ Organization Name

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Office/ Organization Logo or Attorney Headshot

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What are your consult & retainer fees? (If any)

Select all services you provide

AsylumRemoval Deportation DefenseAdjustment of StatusNaturalizationDACAWork Permit AuthorizationFamily-based PetitionsGreen Card RenewalsSIJSNon-Immigrant VisasVictim Related VisasOther

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Preferred method of contact for client referrals *

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What languages are spoken at your office? * Required

English

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Would you be willing to offer free consultations or discounted rates for clients referred to you by CIRC or FAIRRE? *

Yes, I'd like to schedule a meeting to discuss this

No

Check here if your organization is a part of AILA.

You agree that your office/ organization is currently accepting new cases and will notify FAIRRE if said office/ organization is no longer accepting cases.

You agree that all information contained in this application will be accessed by both FAIRRE and CIRC to be shared on their 1) legal directories and/ or 2) contact referral list(s).

Your submission has been received. A FAIRRE representative will review your information and be in contact to finalize your profile. Thank you!

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Email: Marialopeznotary@gmail.com

Phone: (720) 773-2337

Mailing Address:

1312 17th St. #1059

Denver, Colorado 80202

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