EXPERT WITNESS LISTING FORM
Desired Listing:
Free
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Premier ($75/yr)
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Title (Mr., Ms., Dr., etc.):
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First Name:
*
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Middle Initial:
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Last Name:
*
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Firm/Company:
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Address1:
*
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Address2:
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City/Town:
*
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State/Province:
*
$State "; } else { echo"
Please Select State
"; } ?>
Canada
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Ohio
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip/Postal Code:
*
">
Country:
*
$Country "; } else { echo"
Please Select Country
"; } ?>
United States
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Albania
Algeria
Afghanistan
Anguilla
Antigua
Argentina
Aruba
Australia
Austria
Azerbaijan
Bahamas
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Bangladesh
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Canada
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China
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Egypt
El Salvador
England
Estonia
Ethiopia
Falkland Islands
Finland
France
Gabon
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Germany
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Guam
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Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia (F.Y.R.O.M.)
Malawi
Malaysia
Mali
Malta
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Mexico
Moldova
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Mongolia
Morocco
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Myanmar
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Netherlands
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Niue
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Palestinian Territories
Panama
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Paraguay
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Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Saint Kitts and Nevis
Saint Lucia
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The Grenadines
Saudi Arabia
Scotland
Senegal
Sierra Leone
Singapore
Slovakia
Slovenia
South Africa
Spain
Sri Lanka
Sudan
Surinam
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
U.S. Pacific Territories
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Venezuela
Vietnam
Virgin Islands
Yemen
Yugoslavia
Zimbabwe
Telephone:
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Fax:
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Website or Bio/CV URL
(include http://)
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E-mail:
*
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Desired Listing Name
(This can be your name
or your company's name):
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Enter keywords below (one per field, at least one keyword is required).
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Select categories for your listing below (one category is required).
$Category1 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
>
$Category2 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
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$Category3 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
$Category4 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
$Category5 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
$Category6 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
$Category7 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
$Category8 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
$Category9 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
$Category10 "; } else { echo"
"; } include("$DOCUMENT_ROOT/inc/Category_Select_List.inc.php"); ?>
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Suggest categories here separated by commas.
You may suggest up to eight (8) new categories
">
Enter your biography, CV or summary of your experience below. You can also upload your complete CV near the bottom of this form.
echo "$Experience"; ?>
Enter Your Education, Certifications, Awards, etc.:
echo "$Education_Certifications_Awards"; ?>
Areas of Expertise:
echo "$Expertise"; ?>
Additional one to three sentence statement that summarizes your services, experience or expertise:
Example: "Twenty years of experience as an expert witness in accident prevention."
echo "$Remarks"; ?>
Upload Picture(.gif, .jpg, or .png)
(Size Limit: 40KB):
Upload Resume(PDF or DOC)
(Size Limit: 800KB):
Desired Username:
*
">
Desired Password:
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you entered above prior to submitting.
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