I, _________________________________ authorize L & M Legal Services, Inc.
(L & M) to prepare the documents needed for me for my uncontested divorce proceedings. I understand that L & M does not provide any legal advice. No person at
L & M is an attorney or represents his or herself to be an attorney.

I understand that I may cancel this agreement, but only before I have submitted
L & M's questionnaire with my personal information to L & M, and then in lieu of a service fee to L & M. This fee shall be 50% of the total fee stated below. Once I have submitted the questionnaire to L & M, I will be responsible for paying L & M its full fee, as stipulated in this agreement.

BASE FEE:		FEES
Without Children or Real Estate		$    99___
ADDITIONAL FEES:
With Children	$60	$_______
If Real Estate is Involved:
____ Pieces of Property	@ $60 Each	$_______
____ Quit Claim Deeds	@ $25 Each	$_______
Expedite (Overnight Typing)	$50	$_______
Other		$_______
Total Fees		$_______
___________________________	_______________
Signature	Date

Please check box:
Full amount enclosed
One half of fee enclosed, and one half to be paid before typing
Charge the full amount to my Visa/MasterCard
Card Number_____________________________		Exp. Date________

Please complete the following general information:
Your Full Name_______________________________________________
Address:_______________________ ______________________________ ______________________________	Phone: (____)________________ Date of Birth: ________________
Spouse's Name_______________________________________________
Address:_______________________ ______________________________ ______________________________	Phone: (____)________________ Date of Birth: ________________
Date of Marriage: ________________	Names and Birth Dates of Children: _____________________________ _____________________________ _____________________________ Pay your fee now with