1. In person:
   120 N. Seminole Avenue
   Inverness, FL 34436
   
   
2. By telephone:
   (352) 726-6867 or
   (352) 726-2433 (Ext.)
   
   
3. By telefax:
   (352) 726-6337
   
   
4. By e-mail:
   cvbintlaw@earthlink.net
   
   
5. Office Hours:
   Monday - Thursday 08.00 am - 05:00 pm
   Friday                   08:00 am - 12.00 am
   
   We speak German and French. We have some conversational capabilities in Italian and Spanish.
   
   
6. European  Contact:
   BATEMBERG & VAUGHN
   Attorneys at Law
   Wylenstrasse 5a
   CH-6440 Brunnen/SZ
   Phone: (41)-79-780 14 71 or 780 14 18
   e-mail: cvbintlaw@earthlink.net

The following form is designed only as an initial evaluation for Mr. Casutt von Batemberg, not as an agreement of representation.