*DISCLAIMER: By responding to the questionnaire, you understand this information is being submitted only so that it may be reviewed and considered by Burdman Willis. Submitting this form does not establish an attorney client relationship and does not obligate us to represent you. We may or may not be able to represent you, but we will gladly review the information you provide and respond as quickly as possible.  Please include only your home / personal contact information rather than, for example, your work email address.