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* 1. What is your first name?

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* 2. What is your last name?

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* 3. At what email address would you like to be contacted?

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* 4. What is your mobile phone number?

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* 5. Are you an:

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* 6. Experience in Immigration Law

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* 7. Attorneys: List state(s) in which you are licensed and associated bar number(s).

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* 8. Attorneys:  Are you admitted to the Western District of Washington and willing to file a habeas petition?

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* 9. Interpreters/Multi-Language Attorneys - What languages?

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* 10. Interpreters - Please indicate your level of fluency for each language selected above.

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