Serving the
needs of:

Executives
Employees
Professionals
Contractors
Free Agents

 

 

It helps us a great deal if we have a good idea of a client's needs before we meet.

By using his form you will help us prepare in advance and so our meeting time together can be optimized.

Thank you and sincerely,
Dan Felix.

 

 
       
 

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organization
benefit from
a public
speaker?

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Information form:

Do not use your employer's computer to complete this form. Do not contact this firm through your employer's email or phone system.

To help determine if we can be of assistance, please supply the following information:

*Name:
Home Address:
City:
State:     Zip:  
*Phone Home:    
or Cell:   
Personal Email:
IM Name
IM Service
Preferred contact
means and time

How urgent is your request:
Immediate!
I have several days.
I have several weeks.
I have no specific deadline.


Check one which best applies to your situation:
I'm leaving (including separation, severance, termination, dismissal, quitting
I'm joining with (including interviewing, finalizing the deal)
I'm working out a problem (including harassment, discrimination, misunderstanding, unfair treatment)


Please provide a few deatils:
Suggested fields Company Name,Company Address, My start date, My end date, My position is/was, My Salary/Wage is/was, My immediate supervisor's name.



Key issues I need help with: (not the whole story please. Just 25 words or so.)

 
       
   

The Executive's Attorney — a unit of Felix Group, P.C. attorneys at law
P.O. Box 83
Deerfield, Illinois 60015-0083
Office: 847-444-0251
Fax: 847-444-0894
DanFelix @The-Executives-Attorney.com


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