Attorney Name
Firm Name
Address
City
State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan' Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Phone Number
Fax Number
Contact Person
Email Address

Date
Time
Location
Style of Case
Case Number
Type of Proceeding
Estimated Length
Names of Witnesses
Faxing Notice to Reagan Reporters?

Video	Yes:  No:
Video Conferencing	Yes:  No:
If so, with which city & state would you need to connect?
Conference Room	Yes:  No:
Speaker Phone	Yes:  No:
Expedited Delivery	Yes:  No:
If so, what date is the transcript needed back?
Min-U-Script	Yes:  No:
ASCII Disk	Yes:  No:
Email Delivery of transcript	Yes:  No:
Real-Time	Yes:  No:

Please provide any additional instructions and other details that you would like us to be aware of: