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					                  Greenfield Investment in Justice Challenge Grant
  Platinum Level
    $5000 plus
    Your gift will be doubled to $10,000 or more
  Gold Level
    $2500—$4,999.99
    Your gift will be doubled to $5000--$9,999
  Silver Level
    $1000—$2,499.99
                                                                                          “The Greenfield Challenge Grant to benefit the
    Your gift will be doubled to $2000--$4,999                                            Legal Aid Society of Palm Beach County is our
                                                                                          way of ensuring that the disadvantaged residents
  Bronze Level                                                                            of Palm Beach County will receive the equal
                                                                                          access to justice and legal representation that
    $500—$999.99                                                                          every individual deserves.”

    Your gift will be doubled to $1000--$1,999                                                                 Richard and Peggy Greenfield
                                                                                                                              in announcing
                                                                                                              the Greenfield Challenge Grant
  Other
     Your gift will be doubled

           Please fill out this form and mail to the Legal Aid Society of Palm Beach County
                         423 Fern Street, Suite 200, West Palm Beach, FL 33401.
YES, I would like to help the Legal Aid Society of Palm Beach County, Inc., in fulfilling its mission of
   ensuring equal access to justice to all citizens of Palm Beach County by joining the Greenfield
 Investment in Justice Challenge Grant at the ____________ level with a pledge of $_____________
                     to be paid as a one-time gift or annually over 2, 3 or 4 years.

                       ______________________________________________________________________________________
                                            Contributor’s Name (will be listed in printed publicity)
                                            “ Check box if you wish to remain anonymous

Payment Schedule:            “ One-Time Gift                “ Over Two Years              “ Over Three Years            “ Over Four Years

“ Check enclosed
         Checks must be payable to “Legal Aid Society”

“ Please bill the total contribution $__________to my credit card. “ VISA “ MasterCard “ Discover “ American Express

   ______________________________________________________________________________                                  ____________________________
    Print name as it appears on card                                                                                              Expiration Date

   ____________________________________________________                         _______________________________________________________
     Card #                                                                      Signature

“ I will pay online at www.legalaidpbc.org

CONTRIBUTIONS TO THE PRO BONO RECOGNITION EVENING BENEFIT THE LEGAL AID SOCIETY OF PALM BEACH COUNTY, A NOT FOR PROFIT, TAX EXEMPT ORGANIZATION. A
COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION OF THE LEGAL AID SOCIETY (CH187) MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY
CALLING TOLL FREE 1-800-435-7352 WITHIN THE STATE OF FLORIDA. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE. THE
LEGAL AID SOCIETY RECEIVES 100% OF EACH CONTRIBUTION WITH 0% GIVEN TO A PROFESSIONAL SOLICITOR.

				
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