Sponsorship Levels -Leadership Academy 10th Anniversary Celebration

Name(Required)
First Last
Bar Number (if applicable)
Firm Name (if applicable)
Email(Required)
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Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Sponsorships
Please Select Sponsorship Level
- Leadership Legend (Title Sponsor) - $10,000
- Vibe Visionary -$5,000
- Jam Partner - $2,500
- Chill Advocate - $1,000
- Groovy Giver - $500
- Music Mate - $200
Additional Donation
If you would like to make an additional donation, please enter it below.
Payment
Payment Type
- Mastercard
- Visa
- Check
Billing Name(Required)
Billing Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
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Exp. Date
To Pay by Check
Please complete form and print. After printing out form, click "Submit" and then mail your check for the Total, made payable to: Dade Legal Aid
Mail to:
Dade Legal Aid/Put Something Back 28 W. Flagler St., Suite 608, Miami, FL 33130;
Questions or Comments:
Ph: (305) 579-5733 Ext. 2252; Email: psb@dadelegalaid.org
Total
$0.00
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