lasvegaslaw.net
2245C Renaissance Drive
Las Vegas, NV 89119
Advertising Form

Please complete form below and fax to 702-967-6789.
Basic membership is $200 per year for one geographical area and up to three practice areas
Promotional Code __________ (basic membership fee of $200 will be waived upon verification of a valid promotional code)

Order Date  
Name  
Firm Name  
Address
  
Phone  
Fax  
Website  
Education

  
Publications

  
Other Info

  

Geographical Areas (choose one - Addition geographical areas are sold for an additional $100 each per year)
  Central   Northeast   Northwest   Southeast   Southwest

Practice Areas (Choose three - Additional practice areas are sold in groups of 3 for $100 additional per year)
  Appellate   Contract   Landlord / Tenant
  Asset Protection   Corporation / Partnership   Medical / Dental Malpractice
  Aviation   Criminal   Patent / Trademark / Copyright
  Bankruptcy   Dispute Resolution / Mediation / Arbitration   Personal Injury
  Business   DUI   Real Estate
  Civil Litigation   Elder / Health   Tax
  Civil Rights   Family / Divorce / Adoption   Traffic
  Collections   Gaming   Wills / Trusts / Probate
  Commercial   Immigration   Workers Compensation
  Construction / Defect   Labor / Employment   Zoning / Condemnation / Land Use

Payment Information
  Please bill me. I understand that my listing will not be activated until payment has been received.
  Enclosed is my check. Please activate my listing immediately.
  Please bill my Mastercard or Visa as described below:
  Credit Card Number Expiration Date Amount $
       

Authorization
I, the undersigned, authorize this transaction and the applicable charges (if any) to my credit card described above.