Tel (631) 234-5511Fax (631) 234-5899560 Wheeler Rd.Hauppauge NY, 11788
To be used by
attorneys & others who wish to volunteer for the Pro Bono Project
City: State: Zip:
Mentor to Volunteer Attorneys
Recruitment of Volunteers
I cannot volunteer my services, but wish to support the PBP with
a tax-deductible contribution in the amount of
(donations should be submitted via credit card
Method of payment:
Credit Card information:
Charge card type (choose one):
American Express (AMEX)
, Master Charge
, Visa, Discover
(please use mm/yy format)
I hereby authorize the Suffolk County Pro Bono Foundation to debit
my credit card in the full amount of the donation listed above.
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