For SBN Use Only STATE BAR OF NEVADA APPLICATION FOR ADVANCE ADVISORY OPINION PURSUANT TO RPC 7.2B Date Rec’d _______ District___________ Fee Enclosed _____ Effective September 1, 2007, Rule of Professional Conduct (“RPC”) 7.2B (Volunteer Advisory Committees; Pre-Dissemination Review) allows a lawyer or law form to file a written request with the state bar seeking an advance opinion on whether a proposed advertisement complies with the rules. An advance opinion may be obtained pursuant to RPC 7.2(B) by submitting a copy of this application, the advertisement, and the fee required by ACR 8. If an advance opinion is requested, the committee shall issue a written opinion within 30 days of submission. Type of Ad________ Ackn. Letter Sent_____ F’wd to Committee___ Advance Op. due ____ INSTRUCTIONS FOR SUBMISSION OF THE APPLICATION 1. 2. 3. Complete Application in full. Please print or type. Application may be reproduced. Attach advertisement or writing. If requesting an advance opinion of an audio or video advertisement, attach two copies of the final production script. Note: A recording of each audio or video advertisement that has been previously submitted for an advance opinion must be submitted to the committee at or about the time the advertisement is actually disseminated. Any public media advertisement or solicitation communication in a non-English language shall be accompanied by a complete, accurate English translation. Enclose the fee required by ACR 8 payable to the State Bar of Nevada. 4. Mail original and one copy of each completed Application with all attachments to: Advertising Administrator State Bar of Nevada 600 E. Charleston Blvd. Las Vegas, NV 89014 A separate Application must be submitted for each advertisement or writing, unless submitting a media campaign (See ACR 2(l) For questions concerning filing requirements visit www.nvbar.org, or call 702-382-2200. Lawyer: ______________________________________________ Bar Number_________________ Firm: ______________________________________________________________________________ Firm’s Principal Office Address: __________________________________________________________ ____________________________________________________________________________________ Phone: ___________________ Fax: _____________________ E-mail: _____________________ Nature of advertisement or written solicitation: A. ________ Letter C. ________ Newspaper/Periodical E. ________ Billboards and other signs B. ________ Telephone Directory D. ________ Television/Radio F. ________ Other (form continued on back…..) Does the advertisement or writing disclose or allude to a specific fee, range of fees, or that the lawyer or law firm will render fees on a contingent fee basis? Yes ________ No ________ Does the advertisement or writing disclose the existence of an office other than the firm’s principal office? Yes________ No ________ Does the advertisement or writing designate or allude to one or more specific areas of practice? Yes________ No ________ In what geographic location(s) will the advertisement be disseminated? ______________________ ___________________________________________________________________________________ (Form continued on back) American LegalNet, Inc. www.FormsWorkflow.com Identify any lawyers depicted in the advertisement. ________________________________________ ____________________________________________________________________________________ Identify any actual clients depicted in the advertisement along with such clients’ addresses and phone numbers.______________________________________________________________________ ____________________________________________________________________________________ Identify any actors used in the advertisement. ____________________________________________ ___________________________________________________________________________________ Note: the Advertising Review Committee may request substantiation of any statement or representation made in the submitted advertisement. ENCLOSE THE FEE PURSUANT TO ACR 8 Payment by credit card: Name of cardholder_________________________(circle one) MC Visa $________________ Number: ____________________________________ Date of Expiration ______________________________________ ATTEST: I HAVE REVIEWED THE ADVERTISEMENT OR WRITING SUBMITTED FOR AN ADVANCE OPINION PURSUANT TO RPC 7.2(B). THE REPRESENTATIONS CONTAINED THEREIN AND THE INFORMATION IN THIS FORM ARE TRUE AND CORRECT. _______________________________________________ Signature _________________ Date FOR COMMITTEE USE ONLY AD RECEIVED BY COMMITTEE DATE WRITTEN OPINION DUE: OPINION APPROVING AD FILED: OPINION OF NONCOMPLIANCE FILED: DATE_____________ DATE ___________ DATE_____________ DATE____________ BY_______________ BY _____________ BY_______________ BY _______________ REFERRED TO OFFICE OF BAR COUNSEL DATE _____________ BY________________ American LegalNet, Inc. www.FormsWorkflow.com