Contact Form

1
Your Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
How Can We Help You?* This field is required.
Please Select
Please Select
U.S. Temporary Work Visa
U.S. Permanent Residency
Work Visas Worldwide
U.S. Citizenship & Naturalization
E-Verify & Form I-9 Audit
Court/Deportation/Removal Defense
EB-5 Investor Visa
Other
5
Select What Describes You Best* This field is required.
Please Select
Please Select
Employers
Workers/Employees
Investors
Entrepreneurs
Students
Families
Border Issues
Court Cases
6
Which Office Are You Trying to Contact?* This field is required.
Please Select
Please Select
United States
7
How Did You Hear About Us?* This field is required.
Please Select
Please Select
Internet Search/Social Media
I was referred by someone
I have worked with Serotte Law in the past
My employer is an existing client
I am an Unshackled Founder
Seminar or Conference
I am part of the Unshackled community (not a founder)
Unknown/Other
8
Name of Referring Contact (Optional)
First Name
Last Name
9
Name of Referring Company
10
Message* This field is required. Please provide details about your immigration-related inquiry
11
Referral Details (Salesforce) Don't delete - this merges responses from 'Referring Contact' and 'Referring company' for the SF integration
Huge
Large
Normal
Small
Ok
Ok
12
Inquiry Details (Salesforce) Don't delete - this merges responses from 'How can we assist you' and 'Message' for SF
Huge
Large
Normal
Small
Ok
Ok
13
Lead Source Label > API Matcher Dont delete - since salesforce requires picklist values to match the picklist API names, rather than the label, conditional logic populates this field based on the value selected in "How did you hear about us?"
14
Lead Source Label > API Matcher (2) Dont delete - since salesforce requires picklist values to match the picklist API names, rather than the label, conditional logic populates this field based on the value selected in "How did you hear about us?"
Please Select
Please Select
Unknown
Website
Referral
Client
Corporate Client
I am an Unshackled Founder
Seminar
I am part of the Unshackled community (not a founder)
15
Lead Category Label > API Matcher (2) Dont delete - since salesforce requires picklist values to match the picklist API names, rather than the label, conditional logic populates this field based on the value selected in "select what describes you best"
Please Select
Please Select
Employer
Employment (Individual)
Investor
Start-up
Student
Family
Border
Court
16
Lead Category Label > API Matcher Dont delete - since salesforce requires picklist values to match the picklist API names, rather than the label, conditional logic populates this field based on the value selected in "select what describes you best"
17
Campaign Metadata
Should be Empty: