35TH ANNUAL VIEW FROM BENCH FAMILY LAW 5.15.2020

Name*
First Last
Florida Bar Number
Address
Street Address Address Line 2 City State ZIP Code
Firm
Email*
Phone*
Payment Options
- I will attend and accept a pro bono family law case.
- I will attend. Please charge my credit card $100.00
- I will attend. Mailed check for $100.00.
- Seminar speaker
--- I WOULD LIKE TO BE A SPONSOR, PLEASE FIND MY SPONSORSHIP BELOW:
Total
$0.00
To pay by check, please print and fill out form and then mail your check for $100.00, 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