FBF: Fellows > Become A Fellow

FELLOWS: Become A Fellow
Home > Fellows > Become A Fellow

Please use this form to become a Florida Bar Foundation Fellow. For other ways to give, please contact Michelle C. Lyles at 1 (800) 541-2195. To make a donation other than a Fellows pledge, please visit our Donation Form.

Fellows Program: Pledge Form

YES! I pledge $1,000 over the next five years for membership in the Fellows Program of The Florida Bar Foundation. Young Lawyers have the option of extending the $1,000 membership pledge over a ten-year period.

Pledge Amount*: $

How would you like to make the payments?
One lump sum.
Equal payments over five years.
Equal payments over ten years (for members of the Florida Bar Young Lawyers Division).

I wish my contribution to benefit (choose one):

Name as you wish for it to appear on our Fellows list:
Leave the field blank if you do not wish to appear on the Fellows list.

How did you learn about the Fellows program?

*Fields marked with an Asterisk are required.

First Name*:
Last Name*:
Firm Organization:
*Street address 1:**
Street address 2:
*City:**
*State:**
*Zip Code:**
Home Phone:
*Work Phone:**
*eMail Address:**
Florida Bar Number (if applicable):
Signature:
Would you like to make a payment online at this time?: Yes No

Please press the button below to submit your information.

A copy of the official registration (#sc-1897) and financial information may be obtained from the division of consumer services by calling (800) 435-7352 toll-free within the state. Registration does not imply endorsement, approval or recommendation by the state. 100% of each contribution is retained by the Florida Bar Foundation. If you have further questions about making a gift to the Foundation, please contact Michelle C. Lyles at 1 (800) 541-2195 or email mlyles@flabarfndn.org. Contributions to the Foundation, a 501(c)(3) organization, are deductible as permitted by law. No goods or services were provided in exchange for this gift.

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