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This agreement is made between Womble Howell &
Croyle (Attorney) 1814 Memorial Drive, Houston, Texas 77007, 713-650-6000
(telephone), 713-650-1932 (facsimile), and
_____________________________________ (Client), whose address and telephone
number is ________________________________
___________________________________________________________________________________________________.
The legal services to be
provided by Attorney to Client are as follows: Representation of Client with
respect to claims for damages for personal injuries arising out of an
incident date_________________,
involving_________________________________________________________________________________
________________________________________________________________
(Incident).
Legal services that are not
to be provided by Attorney under this agreement specifically include, but
are not limited to, the following: representation with respect to (a) any
claim for property damage arising out of the incident, (b) any dispute with
a medical care provider about amounts owed by Client for services received,
or, unless otherwise stated in this contract, (c) any appeal in which Client
is appellant from a court judgment on Client's claim (that is, Attorney's
obligation to Client under this agreement extends to an appeal only if
Client is a respondent or appellee in an appeal).
If client wishes that
Attorney provide any legal services not to be provided under this agreement,
a separate written agreement between Attorney and Client will be required.
Attorney will perform the
legal services called for under this agreement, keep Client informed of
progress and developments, and respond promptly to Client's inquiries and
communications. Client will be truthful and cooperative with Attorney
and keep Attorney reasonably informed of developments and of Client's
address, telephone number and location.
Attorney's fees: Attorney will receive fees for
legal services provided under this agreement as follows:
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