Colorado Trial Lawyers Association - CTLA Eagle Online Contribution

Eagle Contribution

The following are EAGLE Donor Giving Levels (please choose one):

		Legacy: $50,000 and Above
		Founder: $25,000 - $49,999
		Champion: $15,000 - $24,999
		Benefactor: $10,000 - $14,999
		Defender: $7,500 - $9,999
		Patron: $5,000 - $7,499
		Advocate: $3,750 - $4,999
		Sponsor: $2,500 - $3,749
		Associate: $1,500 - $2,499 (in practice 10 years or less)
		New Advocate: $500 - $1,499 (in practice 5 years or less)
		Contributor: Up to $2,499

* Pledge Amount:

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Contributor Information

Prefix:	* First Name:	Middle Name:	* Last Name:	Suffix:

Firm/Business Name:


* Mailing Address:


* City:	* State:	* Zip:

* Office Phone:	Mobile Phone:	Office Fax:

* Email:

Website:

Eagle Payment Options

	Payment Schedule:
	* Payment Method:	Pay by Check Pay by Credit Card

Please indicate the type of funds you will be using to pay for this contribution:

		Individual/Personal
		Individual/Sole Proprietor
		Firm (PC or LCC or Other)

Special Instructions:

Please note: Contributions or gifts to CTLA are not tax deductible as charitable contributions for income tax purposes. However, a portion may be tax deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of association lobbying activities. You will be notified of the applicable percentages.

Auto-Renew Membership

I give consent to CTLA to automatically charge my contribution to the pay method on file on an annual basis. I understand that CTLA will inform and invoice me via email, 60 days prior to charging my payment method on file. I understand that if I choose to withdraw my auto renewal status, I will inform CTLA, in writing, 30 days prior to my annual renewal date.

I wish to Opt-Out of Auto-Renewals