TORONTO
95 Barber Greene Road, Suite 100
Toronto, ON, M3C 3E9
Tel: 416-449-1400
Fax: 416-449-7071
BARRIE
85 Bayfield Street, Suite 300
Barrie, ON, L4M 3A7
Tel: 705-812-2100
Fax: 705-730-6871
WHITBY
209 Dundas Street East, Suite 401
Whitby, ON, L1N 7H8
Tel: 289-638-3171
Fax: 844-449-7071
COLLINGWOOD
186 Hurontario Street, Suite 205
Collingwood, Ontario L9Y 4T4
Tel: 705-881-9883
HALIBURTON
191 Highland Street, Suite 102
Haliburton, ON K0M 1S0
Tel: 705-809-3330
MIDLAND
Box 96, 323 Midland Avenue
Midland, ON, L4R 3K5
Tel: 705-526-9328
By submitting this form I acknowledge that my meeting today does not mean that Devry Smith Frank LLP (“DSF”) is acting as my lawyers. I direct DSF to take no steps with respect to my matter until I have provided a monetary and written retainer, as acceptable to DSF. I may sign a retainer agreement and provide a monetary retainer (other than the consult fee) today. If I do not, I know that I can contact Devry Smith Frank LLP in the future to inquire about retaining the firm.