July 20, 2019 New Client Intake Form Petitioner Information Your Full Name (required) Country(ies) of Citizenship (required) Street Address (required) City (required) State (required) Zip Code Country (if outside U.S.) Phone Number (required) Your Email (required) Beneficiary Information Same as above (self-petitioner) [group beneficiary-fields] Beneficiary Full Name Country(ies) of Citizenship Beneficiary Street Address City State Zip Code Country (if outside U.S.) Beneficiary Phone Number Beneficiary Email [/group] Does Beneficiary have any dependents? YesNo [group beneficiary-with-dependents] If so, please list: [/group] Please agree to the following: The consultation fee paid today is deductible from the flat fee set in my case should I hire Watson Immigration Law within 2 months. After 2 months, a new consultation may be needed for my case, and will be subject to another consultation fee. Any flat fee quoted to me is valid for 6 months, after which, it is subject to change. Completion of this form and subsequent receipt and review by our office is not intended to create or constitute an attorney-client relationship. Such relationship is not created until the completion of an engagement letter and receipt of payment for engaged services. Any additional research or conversations prior to engagement with our firm will be subject to our hourly rates. You have read and agree to the Watson Immigration Law's Data Protection and Privacy Policy