Touro College Jacob D. Fuchsberg Law Center
Auction sponsor Form

16th ANNUAL GOODS & SERVICES AUCTION
To Benefit The Public Interest Law Fellowship Program
March 24, 2010 • 6:00 p.m. - 8:00 p.m.

Fill in the information below and click the submit button
Click Here to download the PDF version of this form

Name
 
Firm/Business
Address
 
City State Zip
 
Email
Telephone (xxx-xxx-xxxx ext. xxxx)
 



Includes:
  • recognition at event
  • recognition in auction brochure
  • 10 admission tickets to the auction
Credit Card  

Credit Card Number
Exp. Date (mm/yyyy)
Verification Code (3 digit number on back of card)