Please print this form and return your contribution to:

LEGAL AID CORPORATION
212 North Fifth Street
Lafayette, IN 47901

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Volunteer Assistance Form

 [ ]  I would like to contribute $_____ to Legal Aid.
    
 [ ]  I would like to volunteer at Legal Aid.

 NAME:   ___________________________________________________

 ADDRESS:___________________________________________________

         ___________________________________________________
   
 PHONE:  (_____)_____-___________ 

    

    
Sponsored in part by Community Development Block Grant Programs of 
    Lafayette and West Lafayette