Lawyer Referral Services For new LRS submissions, complete LRS Attorney Application below and email to email@example.com LRS ATTORNEY APPLICATION h Name Phone Number Email Payment Information Payment Description Lawyer Referral Services @ $300.00 each. Quantity 0 1 Payment Amount $0.00 First Name on Credit Card Last Name on Credit Card Billing Street Address Billing City Billing State Billing Zip Code Card Holder Email Card Number Card CVV Code (3 or 4 digits) Card Expiration (ex 09/2020) To prove you are a human, please tell us which is a color? Please answer question. Red Aardvark Missle Please wait. Your request is processing. Please wait. Allow up to 2 minutes for processing.Please do not 'refresh' or go 'back' until the transaction is completed and you have received the success or failure message on your screen.