Donor Information

You do not need to be an attorney to support Legal Aid - we are thrilled to accept donations from anyone who believes in equal access to justice! This question just helps us measure our levels of support from the legal community.

Firm Name (if applicable)
Your Name (Write exactly as you wish to be listed; if you would like to remain anonymous, you may also indicate so here.)

 

You can designate your gift in honor or in memory of someone by noting it here.  If you would like the designee to be notified of your gift, please also include their contact information.

My gift is in honor/memory of:
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

My Donation:

Which fund are you contributing to today?*
  • General Fund
  • Just One Attorney Member Campaign

Indicate here if you would like to make your gift in a one-time payment, or if you would like to have it spread out over time through deductions from your checking account or credit card. 

 

Please note: For donors making recurring gifts (deductions spread out over time) the amount you enter in the "Donation Amount" field should be the amount you would like deducted on each payment date, and not your total annual pledge.  For example, if you wish to make an annual gift of $300 paid in quarterly installments, you would enter $75 in donation amount, specify quarterly, and put a stop date of one year from today.

Donation Amount*
$
Stop Date
If you do not include a stop date, your card or account will continue to be billed until you tell us to stop, or it reaches its expiration.

 

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code