Consultation

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<form id="form93" name="form93" class="wufoo topLabel page" accept-charset="UTF-8" autocomplete="off" enctype="multipart/form-data" method="post" novalidate<!-- [et_pb_line_break_holder] --> action="https://getrocketship.wufoo.com/forms/k10tao5e1ssvntc/#public"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><header id="header" class="info"><!-- [et_pb_line_break_holder] --><h2>Shields Law Firm Consultation Request</h2><!-- [et_pb_line_break_holder] --><div></div><!-- [et_pb_line_break_holder] --></header><ul><!-- [et_pb_line_break_holder] --><li id="foli1" class="notranslate "><!-- [et_pb_line_break_holder] --><label class="desc" id="title1" for="Field1"><!-- [et_pb_line_break_holder] -->Name<!-- [et_pb_line_break_holder] --><span id="req_1" class="req">*</span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --><span><!-- [et_pb_line_break_holder] --><input id="Field1" name="Field1" type="text" class="field text fn" value="" size="8" tabindex="1" placeholder="" required /><!-- [et_pb_line_break_holder] --><label for="Field1">First</label><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --><span><!-- [et_pb_line_break_holder] --><input id="Field2" name="Field2" type="text" class="field text ln" value="" size="14" tabindex="2" placeholder="" required /><!-- [et_pb_line_break_holder] --><label for="Field2">Last</label><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --></li><!-- [et_pb_line_break_holder] --><li id="foli3" class="phone notranslate "><!-- [et_pb_line_break_holder] --><label class="desc" id="title3" for="Field3"><!-- [et_pb_line_break_holder] -->Phone Number<!-- [et_pb_line_break_holder] --><span id="req_3" class="req">*</span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --><span><!-- [et_pb_line_break_holder] --><input id="Field3" name="Field3" type="tel" class="field text" value="" size="3" maxlength="3" tabindex="3" placeholder="###" required /><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --><span class="symbol">-</span><!-- [et_pb_line_break_holder] --><span><!-- [et_pb_line_break_holder] --><input id="Field3-1" name="Field3-1" type="tel" class="field text" value="" size="3" maxlength="3" tabindex="4" placeholder="###" required /><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --><span class="symbol">-</span><!-- [et_pb_line_break_holder] --><span><!-- [et_pb_line_break_holder] --> <input id="Field3-2" name="Field3-2" type="tel" class="field text" value="" size="4" maxlength="4" tabindex="5" placeholder="####" required /><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --></li><!-- [et_pb_line_break_holder] --><li id="foli4" class="notranslate "><!-- [et_pb_line_break_holder] --><label class="desc" id="title4" for="Field4"><!-- [et_pb_line_break_holder] -->Email<!-- [et_pb_line_break_holder] --><span id="req_4" class="req">*</span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --><div><!-- [et_pb_line_break_holder] --><input id="Field4" name="Field4" type="email" spellcheck="false" class="field text medium" value="" maxlength="255" tabindex="6" placeholder="" required /><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --></li><!-- [et_pb_line_break_holder] --><li id="foli6" class=" "><!-- [et_pb_line_break_holder] --><fieldset><!-- [et_pb_line_break_holder] --><![if !IE | (gte IE 8)]><!-- [et_pb_line_break_holder] --><legend id="title6" class="desc notranslate"><!-- [et_pb_line_break_holder] -->Areas of Interest<!-- [et_pb_line_break_holder] --></legend><!-- [et_pb_line_break_holder] --><![endif]><!-- [et_pb_line_break_holder] --><!--[if lt IE 8]><!-- [et_pb_line_break_holder] --><label id="title6" class="desc"><!-- [et_pb_line_break_holder] -->Areas of Interest<!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --><![endif]--><!-- [et_pb_line_break_holder] --><div><!-- [et_pb_line_break_holder] --><span class="subfield"><!-- [et_pb_line_break_holder] --><input id="Field6" name="Field6" type="checkbox" class="field checkbox" value="Family Law" tabindex="7" /><!-- [et_pb_line_break_holder] --><label class="choice" for="Field6"><!-- [et_pb_line_break_holder] --><span class="choice__text notranslate" >Family Law</span><!-- [et_pb_line_break_holder] --><span class="choice__qty"><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --><span class="subfield"><!-- [et_pb_line_break_holder] --><input id="Field7" name="Field7" type="checkbox" class="field checkbox" value="DUI Defense" tabindex="8" /><!-- [et_pb_line_break_holder] --><label class="choice" for="Field7"><!-- [et_pb_line_break_holder] --><span class="choice__text notranslate" >DUI Defense</span><!-- [et_pb_line_break_holder] --><span class="choice__qty"><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --><span class="subfield"><!-- [et_pb_line_break_holder] --><input id="Field8" name="Field8" type="checkbox" class="field checkbox" value="Mediation" tabindex="9" /><!-- [et_pb_line_break_holder] --><label class="choice" for="Field8"><!-- [et_pb_line_break_holder] --><span class="choice__text notranslate" >Mediation</span><!-- [et_pb_line_break_holder] --><span class="choice__qty"><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --><span class="subfield"><!-- [et_pb_line_break_holder] --><input id="Field9" name="Field9" type="checkbox" class="field checkbox" value="Criminal Law" tabindex="10" /><!-- [et_pb_line_break_holder] --><label class="choice" for="Field9"><!-- [et_pb_line_break_holder] --><span class="choice__text notranslate" >Criminal Law</span><!-- [et_pb_line_break_holder] --><span class="choice__qty"><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --></span><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --></fieldset><!-- [et_pb_line_break_holder] --></li><!-- [et_pb_line_break_holder] --><li id="foli106"<!-- [et_pb_line_break_holder] -->class="notranslate "><label class="desc" id="title106" for="Field106"><!-- [et_pb_line_break_holder] -->Additional Information<!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><div><!-- [et_pb_line_break_holder] --><textarea id="Field106"<!-- [et_pb_line_break_holder] -->name="Field106"<!-- [et_pb_line_break_holder] -->class="field textarea medium"<!-- [et_pb_line_break_holder] -->spellcheck="true"<!-- [et_pb_line_break_holder] -->rows="10" cols="50"<!-- [et_pb_line_break_holder] --><!-- 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