Lawlapalooza 2015 Individual Donation Form

INDIVIDUAL DONATION FORM Donor Name: Organization: Mailing Address: Phone: E-mail Address: For all donors giving a gift of $250 or more, please list the name to be used on Sponsor poster

INDIVIDUAL DONATION FORM

Donor Name:

Organization:

Mailing Address:

Phone:

E-mail Address:

For all donors giving a gift of $250 or more,

please list the name to be used on Sponsor

posters and literature (write exactly as you

would like name to appear):

Donation Amount: $50

$100

$250

$500

$750 Other amount

On behalf of the Lawlapalooza Committee and the Brandeis School of Law, we appreciate your support Thank You!

UNIVERSITY OF LOUISVILLE BRANDEIS SCHOOL OF LAW

PROCEEDS SUPPORT SUMMER INTERNSHIPS FOR

BRANDEIS STUDENTS AT LEGAL AID

Please complete this form and send to Assistant Dean Laurel Hajek at laurel.hajek@louisville.edu Questions may be directed to her at 502/852-6096

Checks should be made out to University of Louisville Brandeis School of Law and mailed to Dean

Hajek’s attention at the University of Louisville Brandeis School of Law, 2301 S Third Street,

Louisville, KY 40292

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