Pre-Paid Legal Services®, Inc. and Subsidiaries

Inquiry Form

Need More Information?

Fill out the form to obtain personalized information about legal service plans or marketing opportunities with Pre-Paid Legal Services®, Inc., and Subsidiaries.
Special Note for potential associates.

Please double check the spelling of all entries prior to submission. (All fields in Red are mandatory.)

Real Name:   must be in the form "First Name   Last Name"
E-Mail Address:  must be in the form ""
Mailing Address:
Zip Code:

Home Phone:

Business Phone:

Fax Number:

Best Time and Place to Call:

How did you hear about Pre-Paid Legal Services?
Personal Contact
Free Household Money Saving Tips
Saving Times Newsletter
Word of Mouth

If you select Other, please specify how here:

I'm interested in the following:
(Check all that apply.)

Family and Expanded Trial Defense Plans
Group Plans
Commercial Drivers Legal Plan - Individual
Commercial Drivers Legal Plan - Group
Commercial Driver Justice Plan
Law Officers Legal Plan
Small Business Plan
Becoming an Independent Associate
Other Interest in Pre-Paid Legal Services:

If you select Other, please specify what:

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For those desiring to become Independent Associates, we cannot send printed literature before we conduct a preliminary telephone interview.

Pre-Paid Legal Services,® Inc., and Subsidiaries
Mike and Vicki Simons, Independent Associates

262 Eastgate Drive, Suite 391   Aiken, SC 29803-7698
Phone: (803) 652-1727; FAX: (661) 749-7129; Sales: (888) 564-9269