General Counsel Club Online Secure Order Form (128 bit encryption)

If you are AN EXISTING MEMBER and would like to just ORDER ADDITIONAL CARDS for your officers, members, beneficiaries, trustees and employees, please complete our Additional Cards General Counsel Club order form.

If you are AN EXISTING MEMBER and would like to RENEW YOUR MEMBERSHIP, please visit our GCC Renewal Order Form.

General Counsel Club Benefits:

General Counsel for your business
Unlimited legal advice
Unlimited business advice
Toll free access
Entrepreneur's Alert® Newsletter
(six issues published annually)
Advertise for 1 year on the Client Bulletin Board on our website.
(Change your ad monthly)

One Payment of $139.95 - (1 year membership)


If you are a NEW CLIENT and would like to join our General Counsel Club, please complete the form below:

Name to appear on the Spiegel & Utrera, P.A. General Counsel Club Card:

Sign me up for one term only. One term with Auto Pay - please renew me automatically each year by credit card.

NEW OFFER. We have just started offering the officers, members, beneficiaries, trustees and employees of the General Counsel Club primary holder reduced rates. That means complete access to the Spiegel & Utrera, P.A. General Counsel Club to answer their legal questions and address any legal concerns they have. The charge for each additional card is only $59.95

Would you like to order additional cards for your officers, members, beneficiaries, trustees and employees?

If yes, select how many additional cards you need: X $59.95 =

If you have a company at this time, please provide the name and state of corporation.

Name of Company:

State of Incorporation:

CONTACT INFORMATION
Contact Name:
Contact Address:
Contact City:
Contact State:
Contact Zip:
Contact Phone:
Contact Fax:
Contact E-Mail

BILLING INFORMATION same as contact address
Billing Address:
Billing City:
Billing State:
Billing Zip:

Select a Payment Option:

PayPal Email Address: same as contact email
PayPal Payment Instructions: If you are going to process your order with a PayPal account, provide us with the email address associated with your account.
No charges are ever processed or requested until we speak with you first.

CREDIT CARD DETAILS
Name on Credit Card:
Credit Card Number:
Credit Card Expiration Date:
Credit Card security code:	What's a security code?
TOTAL AMOUNT OF ORDER: The total amount reflects the cost of a 1 year membership to Spiegel & Utrera, P.A.'s General Counsel Club for each card ordered.

Type the word in the image below to validate.

ABC123

We have taken the necessary measures to guarantee that any client information submitted to our secure server will not be intercepted by unauthorized parties. Without you having to download any additional software, your information is automatically protected with a 128 bit encryption certificate. Double click on the Gold Padlock on the bottom right of your browser's screen to bring up details of our SSL Security certificate.