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Form for online case registration
What's the subject matter involved? *
What would you like to discuss at the appointment? (Describe your concerns.) *
When are you available? *
Days:
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Wednesday
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Time
Any time
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09:00-10:00
10:00-11:00
11:00-12:00
12:00-13:00
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17:00-18:00
Last name *
First name *
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Preferred meeting place:
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Biel
Langenthal
Niederbipp
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