A Charles Peruto, Jr. - Contact Form

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*Name
*Email
*Home Phone
*Contact Person
*Contact Person Phone Number If Other Than Client:
*Please describe below if your case is civil, criminal, or domestic. Be very specific. For instance is your civil action a personal injury matter, a contract action, a divorce or custody situation?
*Please describe below exactly what you would like us to do
*Are you able to come into the office for an appointment?
*Who referred you?
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