REGISTER TODAY FOR YOU BE THE JUDGE PROBATE & GUARDIANSHIP SEMINAR 1-19-22!

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 probate or guardianship case.
- I will attend. Please charge my credit card $80.00 (DCBA Member).
- I will attend. Please charge my credit card $90.00 (DCBA Non-Member).
- I am a speaker for the seminar. No charge.
- I am sponsoring the seminar. No charge.
I would like to make an additional donation to Dade Legal Aid.
I WOULD LIKE TO SPONSOR THIS SEMINAR, PLEASE FIND BELOW MY SPONSORSHIP:
Name
First Last
Credit Card Number (Note: We do not accept American Express)
Exp. Date

MM/YYYY
CVC Code
Total
$0.00
To pay by check, please print and fill out form and then mail your check for $80.00 (DCBA Member) or $90.00 (DCBA Non-Member), 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;
Email: psb@dadelegalaid.org