Client Info Form

Director / Solicitor: Wyan Nelson (Member of the Law Society of New Zealand) Phone: +64 9 801 0427 Fax:+64 9 355 0428 Email: office@nelsonco.co.nz

Home
Real Estate
Trusts & Wills
Immigration
- Visa for South Africa
Commercial Law
Contact us
- Our Team

Please fill out and submit the form below.

Client Information

* Indicates required field

Salutation *

Name *

First

Last

Name you like to be called *

Home Phone Number *

Work Phone Number *

Email *

Preferred contact mode/s *

Email Standard postage Phone Mobile Phone Fax Skype / Viber / Whatsapp

Skype / Viber / Whatsapp *

Mobile Phone Number *

Fax Number *

Personal Information

Date of Birth *

Marrital Status - Choose One *

Married Partner Single Separated Divorced widow / widower

Children *

Yes No

Children's ages *

Between 1 month & 6 years Between 7 & 14 years Between 15 and 18 years 19 years or older

Employment information

Occupation *

Employer name *

I have read your terms of engagement on this website and *

I accept your terms of engagement I do not accept your terms of engagement I need to know more. Please contact me.

Please click on the Terms of Engagement button to read and then click on the forms button to return. Please choose one of the options.

Thank you for completing our Client Information Form. Please click on the "submit now" button to submit.

I need to know about: *

Buying /selling property Trusts Wills Powers of Attorney Relationship property Commercial leases Buying or selling a Business Company matters Shareholding Immigration

Comment / Question *

Submit now

Terms of Engagement