4/17 DOMESTIC VIOLENCE VOLUNTEER TRAINING

If you have a disability and require a special accommodation to participate please contact ecoto@dadelegalaid.org or 305-579-5733 ext. 2240

Please Note: American Express Credit Cards Are Not Accepted.

Registration for Domestic Violence Training

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 domestic violence case.
- I will attend. Please charge my credit card $25.00
Total
$0.00
To pay by check, please print and fill out form and then mail your check for $25.00, 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

If you have a disability and may require accommodation to fully participate in this activity, please call Eileen Coto to request an accommodation at (305)579-5733 ext. 2240 or at ecoto@DadeLegalAid.org

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4/17 DOMESTIC VIOLENCE VOLUNTEER TRAINING

Registration for Domestic Violence Training

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News / Events

Registration for Domestic Violence Training

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