R. Kellen Bryant
Attorney at Law

Workshop Registration

To reserve your seat complete the form below.

We look forward to meeting you at the forthcoming workshop!

Workshop Date*:
Marital Status*:
Salutation*:
Name*:
Spouse/Partner:
Business Name:
Address*:
Apt. / Ste.:
City, State & Zip*:	,
Tel*:
Fax:
e-Mail*:
How did you hear about my firm?*:
	I am a consumer looking for information. I am a legal or financial professional.
Comments:
Privacy Policy:	Our law firm collects personal information only when you submit it to us. If you decide to submit such personal information, I or an external service provider will retain the information that you submit in a database, and I will use this information to complete your request. Any service provider that I designate will have agreed not to sell or distribute your information to any third party, and I will also not share the information with any third party except for the service provider. I may also use the information retained in the database to communicate with you directly via email or direct mail, such as to inform you about upcoming seminars that may be of interest to you. In order to guard your nonpublic personal information, I maintain physical, electronic and procedural safeguards, but I cannot guarantee that your personal information will never be disclosed in a manner inconsistent with this policy. Currently, I only employ a “cookie” for more accurate anonymous traffic analysis such as tracking the time/date of the visit, the page viewed and the referring website. This cookie does not include personal information. The data that I do collect is never stored in any individual profile and only serves to update aggregate counts allowing me to monitor site traffic. I may share non-personal, anonymous information collected through cookies with third parties. Most browsers are initially set up to accept cookies. If you would prefer, you can set your browser to reject cookies. Any changes to this privacy policy will be made through a revised posting on my website.
	I have read & consent to the above Privacy Policy. I have read & understand your Full Disclaimer.
If you wish to change your attendance from one seminar date to another after completing this form, please call the office to reschedule (904-399-2829). Thank you.
	Enter Security Code*:

Florida Estate Planning Attorney Kellen Bryant at The Law Office of R. Kellen Bryant, P.L. assists clients with Estate Planning, Asset Protection, Trust & Probate Administration, Long-Term Care / Elder Law, Medicaid, Business Succession, Estate Tax Planning, Veterans Aid, Charitable Planning, Special Needs Planning, Trusts and Wills in Jacksonville Florida and the surrounding areas.

Copyright © IMS. All rights reserved. You may reproduce materials available at this site for your own personal use and for non-commercial distribution. All copies must include this copyright statement. Some artwork provided under license agreement.

Site design by
Integrity Marketing Solutions

2033 Flesher Avenue | Jacksonville, FL 32207 | Phone: 904.399.2829 | Email: info@kellenbryantlaw.com