Pre-Paid Legal Services Plan from Law Offices of Richard T. Miller
Yes, I want to
begin receiving professional legal
protection with the Richard T. Miller Legal Services Plan.
If paying by credit card, fill in this form and Fax it
to (818) 994-82355
If paying by check,
mail it together with your check to:
The Law Offices of Richard T. Miller
7120 Hayvenhurst Ave., Suite 108
Van Nuys, California 91406
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E-Mail
Address
Business
Name
Address
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(day)
Phone
(eve)
I prefer to pay the $345 per year:
By enclosed check payable to Law Offices of Richard T. Miller
By credit card
