Custom Website Legal Documents Intake Form

Please complete the following basic intake form and sign our Engagement Agreement to start your order. You will be charged now for the flat fee package you select. A receipt will be emailed to you shortly upon submission. By electronically signing the form below, you will be entering into an agreement with us to provide legal services to you.

Name*
First Last
Email*
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Provide the domain name of your website*
Check which general type of website you operate (more then one may apply)*
- Blog, Social Platform or Forum
- E-commerce Site (Tangible Goods)
- Membership/Subscription Services Site
- Information-Only Site or Directory
- Affiliate/Reseller Site (E-books & Information Products)
- Affiliate/Reseller Site (Tangible Goods)
- Advertising or Sales Platform/Forum Site
- E-commerce Site (E-books & Information Products)
- E-commerce Site (Software or SaaS)
- Other
Does your website target or knowingly collect personal information from children under the age of 13?
- Yes
Provide a brief description of the type of website you operate and the types of goods or services or digital products you sell if applicable.*
Does your website collect personal identifying information from website visitors (including just their email addresses)?
- Yes
Engagement Agreement
LEGAL SERVICES ENGAGEMENT AGREEMENT
Your Signature-Type your name below to accept the Engagement Agreement*
Once you submit your information, you will be taken to our payment page to complete your order. Attorney Philip A. Nicolosi will review your website and conduct a website legal audit, included with every package. We will then schedule a direct consultation where any legal exposure or compliance issues will be identified along with gathering more details about your website.
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Contact Information

Phil Nicolosi Law, P.C.

7210 E. State Street, Suite 208
Rockford, IL 61108

P: (815) 314-0022
F: (815) 516-0395
[email protected]

About Phil Nicolosi, J.D.

Proudly Carrying On A Tradition Started In 1948! Philip A. Nicolosi III provides guidance to startups, small and closely held businesses, medium sized businesses, non-profit organizations and individual business owners with a variety of matters. Mr. Nicolosi provides … [Read More...] about About

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Contact Info

Phil Nicolosi Law, P.C.
7210 E. State Street Suite 208
Rockford, IL 61108

P: (815) 314-0022
F: (815) 516-0395