Family Law Referral Form

This form is for the collection of information on legal firms in Norfolk who would like to be included in referrals from the Norfolk Family Mediation Service.

* indicates required

First Name

Last Name

Email Address *

Company Name

Website

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Marketing statement regarding family law.

CFMS

level

Which of the following do you offer?

Free initial assessment meeting
Fixed fee initial meeting
Free initial phone consultation
Legal aid

Please confirm that:

You would like to join our monthly news letter
You are happy for NFMS to pass the above details on to clients
You accept that by NFMS passing your details on to clinets this is not to be viewed as an endorsemen