Case Submission Form for New Customers

Attorney Name:
Firm Name:
Address:
Suite:
City, State:
Zip/Postal Code:
Phone Number:
E-mail Address:
Password:		A password will be required to access your case once posted.
Case Style/Name:	"John W. Smith vs. ABC Corporation"	For purposes of our Conflicts Check, please provide the complete style of your case.
Venue of Suit/Claim:	"Dallas County, Texas" or "Western District of Tennessee"	List the county/state or district/state of venue.   We will confirm the "County Panel" to be used on your case before it is posted.
Upcoming Deadlines:	"Trial is 04/18/2007" or "We have a mediation next Thursday"	If your results need to be completed before an upcoming trial or mediation, provide that information here.
Your Client/File/Matter No.:	"John W. Smith" or "File No. 01450"	Provide any client/file/matter numbers which we will need to include on our invoice.
Don't forget to E-Mail your Case Submission to cases@ejury.com
I have read and understood all Terms & Conditions and agree to be bound thereby.