contribution form.indd - Legal Aid Society of Northeastern New York

Fill out the form below and mail with your check to:
Justice for All
Legal Aid Society of Northeastern New York
55 Colvin Ave.
Albany, NY 12206
JFA Campaign Leadership law firms calculate their gift
at a minimum of $225 per firm attorney and will be
prominently recognized in Bar Association publications
and the Business Review Book of Lists.
Last year the Legal Aid Society closed over 6,200 cases for
low income families in need—at an average cost of $650.
All gifts are tax deductible.
All individual gifts above $250 will be publicly acknowledged unless otherwise indicated.
Name: _____________________________ Firm: _____________________________
Street: _____________________________ Email Address: ______________________
City: _______________________________ State: _______ Zip: _________________
Daytime Phone: (____) ________________ Evening Phone: (____) _______________
 Yes, our firm wants to be Campaign Leadership: ___________ a�orneys at $225 each
 Yes, we want to be a Corporate Leader: minimum $5,000
 Pacese�er: $5,000
 Help 1 Family: $650
 Supporter: $125
 Sustainer: $1,000
 Advocate: $250
 Other: $_____________
 Please do not acknowledge my gi� publicly
 Please sign me up to volunteer to take a case
 Please send me information on the Legal Aid Legacy Endowment
 Please charge to:  Visa  Mastercard Acct #__________________________ Expires_______
Name on card __________________________ Signature _______________________________
Please make checks payable to Legal Aid Society of Northeastern New York