YES, I want to open my heart and unlock access to justice for low-income and poor
people in Alameda County now!"

Required fields are in bold.

First Name:
Last Name:
Address:
Apt #/Suite #:
City:
State:	-- AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip/Postal Code:
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For recognition purposes, please list my/our name as:

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Investing in Justice Campaign

This special category recognizes individuals who have made a significant five year commitment to the Volunteer Legal Services Corporation by contributing amounts as indicated below:

Founder	$25,000	Paid in Full	OR	5 Annual Payments of $5,000
Patron	$15,000	Paid in Full	OR	5 Annual Payments of $3,000
Benefactor	$10,000	Paid in Full	OR	5 Annual Payments of $2,000

Justice for All Campaign

This category recognizes individuals who have made a year-long commitment to the Volunteer Legal Services Corporation by contributing amounts as indicated below:

Partner	$5,000	Paid in Full	OR	12 monthly payments of $416.67
Counselor	$2,500	Paid in Full	OR	12 monthly payments of $208.33
Associate	$1,500	Paid in Full	OR	12 monthly payments of $125.00
Advocate	$1,000	Paid in Full	OR	12 monthly payments of $83.33
Supporter	$500	Paid in Full	OR	12 monthly payments of $41.67
Friend	$250	Paid in Full	OR	12 monthly payments of $20.83
Other Amount  $ Paid in Full

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Payment

Card Type: Select Card Type Visa Master Card Card Number: (Please do not use spaces or dashes) Expiration Date: MM 01 02 03 04 05 06 07 08 09 10 11 12  /  YYYY 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020	You may also make your gift by check. Please mail to us at: ACBA VLSC 70 Washington Street, Suite 200 Oakland, CA 94607