If you’re a consumer bankruptcy attorney and you’d like to be considered for addition to our free attorney referral listing, please fill in the form below and submit. Please note all fields with an * are required.

* Name
* Email
* Company
* Phone
* Address
* City
* State
* Zip
Fax
Number of Bankruptcies/Yearly
Number of Attorneys in Firm
* Description of services
* Would you like to receive our tip sheet?
* Would you like to receive our consumer flyer?
* Would you like to receive information about our debt negotiation and credit restoration services for your clients?
* Web Site Address
Anything special about how you treat your clients or special benefits you offer (like people get a copy of Bounce Back From Bankruptcy when they use you as their attorney!) that would be helpful for potential clients to know?