Law Office of Hillary H. Peldner
San Antonio, Texas
Thank you for contacting the Law Office of Hillary H. Peldner.
Please fill out the following information as completely as possible. If you have any questions, please do not hesitate to contact our office at 210-320-2130. We look forward to hearing from you!
Please click on our
Privacy Policy
link for detailed information regarding the policies of our office as well as the
Terms and Conditions
of using this website. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption. All information received from an existing client is strictly confidential. Your personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of representation.
Contact information: Contact Person
Prefix
First name
*
Middle name
Last name
*
Emails
Address
*
Type
Upon submission, a copy of this form will be sent to the primary email.
Work
Home
Other
Primary
Default email false
Add email
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Add phone number
Preferred Contact Method
Select an option
Email
Phone
Text
Contact information: Potential Client Information
Prefix
First name
*
Middle name
Last name
*
Date of birth
Emails
Address
*
Type
Work
Home
Other
Primary
Default email false
Add email
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Add phone number
Potential Client Alien Registration Number "A Number"
Potential Client Country of Birth
Potential Client Best Language
Select an option
English
Spanish
Portuguese
French
Creole
Arabic
Pashto
Dari
Punjabi
Hindi
Gujarati
Tamil
Urdu
Nepali
Mandarin
Turkish
Other
Potential Client Case Type
Detained - Release Request (Bond or Parole)
Detained - Negative Credible Fear Review
Detained - Full Asylum Case
Non-Detained - Asylum Case
Non-Detained - Other Court Case
Non-Detained - Adjustment of Status, Visa, Naturalization
Potential Client Marital Status
Single
Married
Spouse's Full Name
Divorced or Widowed
Former Spouse's Full Name
How were you referred to our law firm?
Friend or family member
Input the person's full name:
Another attorney
Input the attorney's full name:
Online search or lawyer directory website
Input the name of the website:
For example, "Avvo", "Facebook", or "LawFirmName.com"
Other
Please explain how you found us:
If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?
Yes
How do you plan to pay?
Please indicate the source of funds or otherwise confirm that you have the ability to pay your legal fees.
No
Input the full name of the person who will pay the legal fees:
Input his/her phone number:
Input his/her email address:
ACKNOWLEDGEMENT AND ACCEPTANCE
I acknowledge that I have read and hereby accept the above privacy policy regarding use of my personal information.
THANK YOU!
Thank you for completing this intake questionnaire. We will contact you soon with any updates.
Please click the SUBMIT button below when you are finished
.
If you have any questions, please do not hesitate to contact our office at 210-320-2130. We look forward to hearing from you!
Privacy
Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption. All information received from an existing client is strictly confidential.
Your personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of representation.
SMS Communications
By filling out this Intake Form, you are requesting to be contacted by an associate of the Law Office.
When you submit an intake form, or otherwise opt in to receiving SMS text messages from us, you consent to receive text messages from our associates and/or an automatic system. We will not share or use your mobile number for any other purpose.
Messaging and data rates from your mobile carrier may apply. The Law Office does not charge any fees to send or receive messages.
Information submitted to www.hpeldnerlaw.com will not be shared, sold or provided to any third party unless you expressly authorize the Law Office to do so on your behalf.
SMS Opt-In Language:
The opt-in language to receive messages from the Law Office will be 'TEXT JOIN to 210-320-2130 to receive Notifications from the Law Office of Hillary H. Peldner.’
SMS Opt-Out Language:
You can cancel SMS Messaging at any time. Just text "STOP" to 210-320-2130. After you send the SMS message "STOP" to us, we will send you an SMS message to confirm that you have been unsubscribed. After this, you will no longer receive SMS messages from us. If you want to join again, just sign up as you did the first time, and we will start sending SMS messages to you again.
Need Help with SMS Service?
If at any time you forget what keywords are supported by our SMS service, just text "HELP" to 210-320-2130. After you send the SMS message "HELP" to us, we will respond with instructions on how to use our Service as well as how to unsubscribe.