1101 Market Street, 11th Floor • Philadelphia, PA 19107
Phone: 215-238-6300 • Fax: 215-238-1267 • www.philadelphiabar.org
Philadelphia Bar Foundation Contribution Form
YES! I want to make a tax-deductible contribution to the Philadelphia Bar Foundation to support its commitment to ensure equal access to justice.
___$50 ___$100 ___$250 __Other $____________
Name:________________________________________________________
Firm/Company:_________________________________________________
Address:_______________________________________________________
______________________________________________________________
City:______________________________ State:_____ Zip:_____________
Telephone:______________________ E-Mail:_________________________
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If you would like your gift to the Philadelphia Bar Foundation to be a meaningful
expression of sympathy or respect, please complete the following:
This gift is in memory of: ______________________________________________________
This gift is in honor of: ________________________________________________________
We will be pleased to acknowledge the gift (but not the amount unless you
designate otherwise) to the following:
Name: _____________________________________________________________
Address:____________________________________________________________
City: ___________________________ State: __________ Zip: ________________
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Please send checks, made payable to Philadelphia Bar Foundation, to:
Philadelphia Bar Foundation
1101 Market Street, 11th Floor
Philadelphia, PA 19107-2911
Telephone: (215) 238-6347
The official registration and financial information of the Philadelphia Bar Foundation may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, (800) 732-0999. Registration does not imply endorsement.