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Lawlapalooza 2015 Individual Donation Form

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UNIVERSITY OF LOUISVILLE BRANDEIS SCHOOL OF LAW PROCEEDS SUPPORT SUMMER INTERNSHIPS FOR BRANDEIS STUDENTS AT LEGAL AID 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 $500 $100 $750 $250 Other amount 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 On behalf of the Lawlapalooza Committee and the Brandeis School of Law, we appreciate your support Thank You! PRINT FORM

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