Volunteer Lawyers for Veterans Project: Free Legal Information and Advice for Veterans, November 3rd, 2018 Veterans Day Clinic, 8:30am - 12:30pm

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1. Last Name

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2. First Name

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3. Email Address

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4. Address 1

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5. Address 2

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6. City

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7. State

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8. Zip Code

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9. Contact Telephone or Cell Number

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10. How did you hear about the November 3rd Veterans Day Clinic?

Brochure/Flyer

Friend or Word of Mouth

Website

Service Provider

Other

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11. Please tell us if you are interested in attending a know-your-rights presentation in the following areas. Please choose three and rank them 1 (most interested) to 3 (least interested).

Consumer Debt, Identity Theft, & Credit Reporting

Consumer Bankruptcy

Taxes (Arrearages)

Wills and Other Life Planning Documents

Family Law (Child Support Downward Modifications)

Public Benefits (SNAP etc.)

VA Benefits

Discharge Upgrades

Starting and/ or Operating Small Business

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12. How will you travel to the November 3rd Veterans Day Clinic?

NYC Public Transportation

Other

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* 1. Last Name

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* 2. First Name

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* 3. Email Address

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* 4. Address 1

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* 5. Address 2

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Contact Telephone or Cell Number

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* 10. How did you hear about the November 3rd Veterans Day Clinic?

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* 11. Please tell us if you are interested in attending a know-your-rights presentation in the following areas. Please choose three and rank them 1 (most interested) to 3 (least interested).

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* 12. How will you travel to the November 3rd Veterans Day Clinic?

1. Last Name

2. First Name

3. Email Address

4. Address 1

5. Address 2

6. City

7. State

8. Zip Code

9. Contact Telephone or Cell Number

10. How did you hear about the November 3rd Veterans Day Clinic?

11. Please tell us if you are interested in attending a know-your-rights presentation in the following areas. Please choose three and rank them 1 (most interested) to 3 (least interested).

12. How will you travel to the November 3rd Veterans Day Clinic?