Partners for Justice Membership Form

 

 
Description: LSA Logo

                                                                                                                                                                                            

SECTION 1: Member Information

TITLE

 Mr.           Mrs.           Miss           Ms.           Dr.           Other, specify: 

FULL NAME

  

ADDRESS

 

PHONE #

 

CITY/ZIP

     

WORK

(

EMAIL

 

CELL

(

COMPANY

 

COMPANY

(

 

SECTION 2: Membership Type and Payment Details

MEMBER TYPE

                       DESCRIPTION

          ANNUAL

MEMBERSHIP

DUES

 

PLEASE CHECK

GENERAL

Partners for Justice  - General Membership *

$50

CLASSIC

Partners for Justice  - Classic Membership **

$100

PREMIUM

Partners for Justice  - Premium Membership ***

$250 or more

PAYMENT METHOD

 Cash        Check  

 Online  www.legalservicesalabama.org

Make checks payable to:

Legal Services Alabama

  

*General Members receive 2 hours free CLE, certificate, recognition in Annual Report

**Classic Members receive 2 hours free CLE, certificate, access to AlabamaProBono.org, recognition in Annual Report

***Premium Members receive 2 hours free CLE, certificate, access to AlabamaProBono.org, recognition in Annual Report, appreciation gift

                  

If you have questions, please contact Debra Hansen, Director of Resource Development, at dhansen@alsp.org