<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"> <head> <title>Douglasville, Georgia Accident Attorney :: Contact Us :: Austell, Georgia Injury Lawyer </title> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="robots" content="index, follow" /> <meta name="description" content="Free Consultation - Jack Clay - Douglasville, Georgia Accident Attorney - Austell, Georgia Injury Lawyer " /> <meta name="keywords" content="Jack Clay - Douglasville, Georgia Accident Attorney - Austell, Georgia Injury Lawyer " /> <!--MSIE--> <meta name="MSSmartTagsPreventParsing" content="true" /> <meta http-equiv="imagetoolbar" content="no" /> <meta name="autosize" content="off" /> <!--/MSIE--> <link rel="bookmark" href="#content" title="jump to content" /> <link rel="bookmark" href="#topnav" title="jump to Main Menu" /> <link rel="alternate" type="application/rss+xml" title="RSS" href="/index.xml" /> <style type="text/css" media="all"> @import url(css/global.css?build=1076029); #beta2fix a:hover {color: #000;} </style> <!--[if IE]> <style type="text/css"> body { behavior: url("css/csshover.htc"); } </style> <![endif]--> <script language="JavaScript" type="text/javascript" src="js/__utm.js"></script> <script language="JavaScript" type="text/javascript" src="js/global.js"></script> </head> <body id="contactus" class="l2"> <div id="container" class="contactus"> <div class="cwrap" > <!-- Header --> <div id="header"> <div class="wrapper"> <img src="images/justia-jackclay-com.gif" id="mainlogo" alt=" Jack Clay" /> <div id="head"> <div id="logo"><a href="index.html">Douglasville, Georgia Accident Attorney Jack Clay Home</a></div> <div id="tagline"><a href="lawyer-attorney-1216024.html" >Contact Austell, Georgia Injury Lawyer Jack Clay</a></div> </div> <div id="topnav"> <ul > <li class="index" id="fc"><a href="index.html" >Home</a> </li> <li class="section_16" ><a href="lawyer-attorney-1225951.html" >Firm Profile</a> </li> <li class="practiceareas" ><a href="lawyer-attorney-1216035.html" >Practice Areas</a> <ul> <li class="exp"><a href="lawyer-attorney-1224111.html" >Personal Injury</a> <ul> <li><a href="lawyer-attorney-1224113.html" >Car Accidents</a> </li> <li><a href="lawyer-attorney-1224115.html" >Truck Accidents</a> </li> <li><a href="lawyer-attorney-1236667.html" >Wrongful Death</a> </li> <li><a href="lawyer-attorney-1236669.html" >Motorcycle Accidents</a> </li> <li><a href="lawyer-attorney-1236671.html" >Products Liability</a> </li> </ul> </li> <li class="exp"><a href="lawyer-attorney-1224117.html" >Workers' Compensation</a> <ul> <li><a href="lawyer-attorney-1236673.html" >Income Benefits & Medical Care</a> </li> <li><a href="lawyer-attorney-1236675.html" >Catastrophic Injuries</a> </li> <li><a href="lawyer-attorney-1236677.html" >Death Cases</a> </li> <li><a href="lawyer-attorney-1236679.html" >Back & Neck Injuries</a> </li> <li><a href="lawyer-attorney-1236681.html" >Shoulder & Knee Injuries</a> </li> </ul> </li> </ul> </li> <li class="section_25" ><a href="lawyer-attorney-1236683.html" >Info Center</a> </li> <li class="contactus" id="lc"><a href="lawyer-attorney-1216024.html" >Contact Us</a> </li> </ul> </div> </div> <div id="ed"></div> <div class="clr"></div> </div> <div class="clr"></div> <!-- End Header --> <div id="main" > <div class="mwrap"> <div id="content"> <div class="imgwrap"> <div id="img1"></div> <div id="img2" ></div> </div> <div id="breadcrumbs"> <div class="wrapper"> <a href="index.html">Home</a> > <span>Contact Us</span> </div> </div> <!-- Content --> <div class="bodytext"> <h3>Contact Us </h3> <div class="blocks"> <div class="block"> <p class="blockaddress"> 8701 Hospital Drive, Suite A <br /> Douglasville, Georgia 30134 <br /> <a href="http://www.mapquest.com/maps/map.adp?searchtype=address&country=US&addtohistory=&searchtab=home&formtype=address&popflag=0&latitude=&longitude=&name=&phone=&level=&cat=&address=8701+Hospital+Drive&city=Douglasville&state=GA&zipcode=30134" class="maplink"target="_blank">Map and Driving Directions</a><br /> </p> <p class="blocknumbers"> <span class="cno_0" id="cno_0_1216030"> Phone: 770-577-2227<br /></span> </p> <a href="&#109;&#97;&#105;&#108;&#116;&#111;&#x3A;&#106;&#x63;&#x6C;&#x61;&#x79;&#64;&#106;&#x61;&#99;&#x6B;&#x63;&#108;&#97;&#121;&#x2E;&#x63;&#111;&#109;?" class="emllink"> &#106;c&#x6C;ay&#64;&#106;a&#x63;&#x6B;&#99;&#108;&#x61;&#121;.com </a><br /> </div> </div> <div class="clr"></div> </div> <div class="globalcfrags"> </div> <div class="cfrags"> <!-- Contact Form --> <script language="javascript" type="text/javascript"> function get_by_tag(tag, par) { if (!par) { par = document; } return par.getElementsByTagName(tag); } function get_by_attr(attr, val, tag, par) { if(!par) { par = document; } elems = get_by_tag(tag); var matches = []; for (j=0; j<elems.length; j++) { if (elems[j].getAttribute(attr) == val) { matches.push(elems[j]); } } if (matches.length == 0) { return false; } if (matches.length == 1) { return matches[0]; } else { return matches; } } function fillForm (errArg) { qsArgs = location.search.slice(1).split('&'); dF = document.detailedForm; if (!qsArgs || qsArgs == '' || !dF) { return false; }; for (i = 0; i < qsArgs.length; i++) { if (qsArgs[i].slice(0,qsArgs[i].indexOf('=')) != errArg) { if (qsArgs[i] != '') { x = qsArgs[i].split('='); f = get_by_attr('name', unescape(x[0]), 'input'); if (f) { val = unescape(x[1]); f.value = val.replace('%20', ' ' ); }; }; } else { o = document.getElementById("errmsg"); m = "Could not process your request. One or more required fields are missing."; if (o) { o.innerHTML = '<strong style=\"color:red; padding:10px; display:block;\">'+ m +'</strong>'; } else { alert(m); } } } } </script> <div class="block"> <div class="detailedform"> <form name="detailedForm" id="detailedForm" action="http://jweb.justia.com/sm/contactus" method="post"> <div id="errmsg"></div> <input type="hidden" name="dummy" value="nothing" /> <input type="hidden" name="site_id" value="1216006" /> <input type="hidden" name="return_url" value="http://justia-jackclay-com.justia.net/lawyer-attorney-1216043.html" /> <input type="hidden" name="current_url" value="http://justia-jackclay-com.justia.net/lawyer-attorney-1216024.html" /> <input type="hidden" name="big_or_small" value="big" /> <input type="hidden" name="whereto" value="jclay@jackclay.com" /> <a name="form"></a> <fieldset> <legend>Contact Information:</legend> <label for="name"> <strong>Name:* </strong> <span><input name="10_Name" type="text" id="Name" size="40" value="Your Name" onfocus='if(this.value=="Your Name"){this.value=""}' onblur='if(this.value==""){this.value="Your Name"}' /> </span> </label> <label for="Email"> <strong>Email:* </strong> <span><input name="20_Email" type="text" id="Email" size="40" value="Your Email" onfocus='if(this.value=="Your Email"){this.value=""}' onblur='if(this.value==""){this.value="Your Email"}'/></span> </label> <label for="Phone"> <strong>Phone Number:* </strong> <span><input name="30_Phone" type="text" id="Phone" size="40" value="Your Phone" onfocus='if(this.value=="Your Phone"){this.value=""}' onblur='if(this.value==""){this.value="Your Phone"}'/></span> </label> <label for="WorkPhone"><strong>Alternate Phone Number: (Optional) </strong> <span><input name="40_Alternate_Phone" type="text" id="WorkPhone" size="40" /></span> </label> <label for="AddressLine1"> <strong>Address: </strong> <span><input name="50_Address_Line_1" type="text" id="AddressLine1" size="40" value="Your Address" onfocus='if(this.value=="Your Address"){this.value=""}' onblur='if(this.value==""){this.value="Your Address"}' /> <input name="60_Address_Line_2" type="text" id="AddressLine2" size="40" /></span> </label> <label for="City"> <strong>City: </strong> <span><input name="70_City" type="text" id="City" size="20" value="Your City" onfocus='if(this.value=="Your City"){this.value=""}' onblur='if(this.value==""){this.value="Your City"}' /></span> </label> <label for="State"> <strong>State: </strong> <span><input name="80_State" type="text" id="State" size="4" value="Your State" onfocus='if(this.value=="Your State"){this.value=""}' onblur='if(this.value==""){this.value="Your State"}' /></span> </label> <label for="zip"> <strong>ZIP: </strong> <span><input name="90_Zip" type="text" id="Zip" size="4" value="Your Zip/Postal Code" onfocus='if(this.value=="Your Zip/Postal Code"){this.value=""}' onblur='if(this.value==""){this.value="Your Zip/Postal Code"}' /></span> </label> <label for="country"> <strong>Country: </strong> <span><input name="100_country" type="text" id="country" size="10" /></span> </label> </fieldset> <fieldset> <legend>Matter Information:</legend> <label for="DateOfIncident"><strong>Date of Incident: (mm/dd/yyyy)</strong> <span><input name="110_Date_Of_Incident" type="text" id="DateOfIncident" size="24" maxlength="10" /></span> </label> <label for="Nature"><strong>Nature of Legal Matter</strong> <span><input name="120_Nature_of_Legal_Matter" type="text" id="Nature" size="55" /></span> </label> <label for="NameOfAdverseParties"><strong>Name of Adverse Parties if Known</strong> <span><input name="130_Name_Of_Adverse_Parties" type="text" id="NameOfAdverseParties" size="55" /></span> </label> <label for="FoundWebsite"> <strong>How Did You Find the Web Site? </strong> <span><input name="140_Found_Website" type="text" id="FoundWebsite" size="55" /></span> </label> <label for="AdditionalComments"><strong>Additional Comments</strong> <span><textarea name="150_Additional_Comments" cols="65" rows="6" id="AdditionalComments" ></textarea></span> </label> </fieldset> <div class="clr">&nbsp;</div> <input type="hidden" name="subject" value="Detailed Enquiry From Website" /> <input type="hidden" name="required_fields" value="10_Name,20_Email,30_Phone" /> <div class="formdisclaimer"> <p>Please do not include any confidential or sensitive information in this form. This form sends information by non-encrypted e-mail which is not secure.<br /><br /> Submitting this form does not create an attorney-client relationship.</p> </div> <span class="submitbtn"><input name="Submit" type="submit" id="Submit" value="Submit" /></span> </form> </div> </div> <script language="javascript"> fillForm('error'); </script> <!-- End Contact Form --> </div> <!-- Content --> </div> <!-- SideBar left --> <div id="left" class="sidebar"> <div id="pr_ar" class="fragment"> <h4> <a href="lawyer-attorney-1216035.html">Practice Areas</a> </h4> <div class="fragcontent"> <ul class="toplevel"> <li class="li2"><strong><a href="lawyer-attorney-1224111.html">Personal Injury</a></strong> </li> <li class="li3"><strong><a href="lawyer-attorney-1224117.html">Workers' Compensation</a></strong> </li> </ul> </div> </div> </div> <!-- End SideBar left --> <div class="clr">&nbsp;</div> </div> <div class="stpr"></div> </div><div class="clr">&nbsp;</div> <!-- Footer --> <div id="footer"> <div class="fcontainer"> <div class="fwrap"> <div class="ffrags"> </div> <div id="address"> 8701 Hospital Drive, Suite A Douglasville, Georgia 30134 <span class="contacts"> <span><strong>Phone: </strong>770-577-2227 </span> <strong> Email: </strong><a href="&#x6D;&#97;&#105;&#108;&#x74;&#x6F;&#x3A;&#106;&#x63;&#108;&#97;&#121;&#64;&#x6A;&#97;&#99;&#107;&#99;&#108;&#97;&#x79;&#x2E;&#99;&#111;&#x6D;">&#x6A;&#x63;&#108;&#x61;&#121;&#64;&#x6A;a&#x63;kc&#108;&#x61;&#x79;.com</a> </span> </div> </div> <div id="footernav"> <ul> <li class="li_1"> <a href="index.html">Home</a> </li> <li class="li_2"> <a href="lawyer-attorney-1216039.html">Privacy Policy</a> </li> <li class="li_3"> <a href="lawyer-attorney-1216038.html">Disclaimer</a> </li> <li class="li_4"> <a href="lawyer-attorney-1216040.html">Terms of Service</a> </li> <li class="li_5"> <a href="lawyer-attorney-1216041.html">Site Map</a> </li> <li class="li_6"> <a href="lawyer-attorney-1216024.html">Contact Us</a> </li> </ul> </div> <div class="copyright"> <a href="index.html">Douglasville, Georgia Accident Attorney Jack Clay Home</a> <br /> <a href="lawyer-attorney-1216024.html">Contact Austell, Georgia Injury Lawyer Jack Clay</a> <br /><br /> Copyright &copy; 2007, <a href="index.html"> Jack Clay</a> <!-- Last Published: Friday 15:33:59 14-Sep-2007 --> </div> <div class="credits"><a href="http://www.justia.pro/" title="Justia Legal WebSite Design">Justia Legal WebSite Design</a></div> </div> <div class="clr">&nbsp;</div> </div> <!-- End Footer --> </div> </div> </div> </body> </html> 