BAND TOGETHER FOR DADE LEGAL AID’S 70TH ANNIVERSARY CELEBRATION!

Name*
First Last
Florida Bar Number
Address
Street Address Address Line 2 City State ZIP Code
Firm
Email*
Phone*
Payment Options*
- Grammy Winner Sponsor-$10,000.00
- Rock Star Sponsor - $5,000.00
- Lead Singer Sponsor - $2,500.00
- Groupie Sponsor - $1,000.00
- Roadie Sponsor - $500.00
If you would like to sponsor a different amount you can enter it below:
Total
$0.00
To pay by check, please print form and then mail with your check made payable to Dade Legal Aid to:

Dade Legal Aid/Put Something Back 123 N.W. 1 Ave. Miami, FL 33128
Ph: (305) 579-5733 Ext. 2252 Fax: (305) 372-7693
Email: psb@dadelegalaid.org