
PRE-MOTHER’S DAY AWARD LUNCHEON
Please tell us in one page or less why your “Special Mom”, Mother, Grandmother, God parent, Step parent, Aunt, Sister, Cousin, Mentor, or Mother Figure should be Mother of the Year! Submit your entry form with a non-refundable registration fee of $10.00. If selected, your special Mom or Mother Figure will be invited to the Detroit Yacht Club for lunch with three of her special guests, and become part of a special Mother’s Day tribute that will include a certificate and award for “Mother of the Year”, (4) AMC Gold Movie Passes good anytime and a featured photo in The Detroit Legal News. The theme this year is, “The Mixing Bowl; Mixing Motherhood and Careers” featuring special guests panelists.
Contact Tanya Cleveland at tcleveland@ladadetroit.org or 313-965-9419 extension 1-6340.
Submitted By
Name___________________________________________________Relationship___________________
Address__________________________________City____________State___Zipcode_______________
Telephone Number ( ) _________________________Alternate Number________________________
I nominate_________________________________________________________________for Mother of the Year because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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$10.00 Application Fee Deadline Date April 15, 2007
All Checks Payable to: Legal Aid and Defender Association 645 Griswold Street, Suite 3466
Address__________________________________City____________State___Zipcode_______________
Telephone Number ( ) _________________________Alternate Number________________________
I nominate_________________________________________________________________for Mother of the Year because ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Continue on additional sheet of paper
$10.00 Application Fee Deadline Date April 15, 2007
All Checks Payable to: Legal Aid and Defender Association 645 Griswold Street, Suite 3466
Detroit, Michigan 48226
Debit/Credit Cards Also Accepted
Master Card Credit Card Number____________________________________________Exp._______________
Visa Authorized Signature______________________________________________________________
American Express Verification Code ________ (Last 3 Digits on Back of Card) Amount $_______________________
Souvenir Photo $12.00 Each
Luncheon Tickets $40.00 Each
For additional information contact Tanya Cleveland or Evetta Adams at (313) 965-9419 Ext. 16341 or 16342 or Fax (313) 965-9694
Debit/Credit Cards Also Accepted
Master Card Credit Card Number____________________________________________Exp._______________
Visa Authorized Signature______________________________________________________________
American Express Verification Code ________ (Last 3 Digits on Back of Card) Amount $_______________________
Souvenir Photo $12.00 Each
Luncheon Tickets $40.00 Each
For additional information contact Tanya Cleveland or Evetta Adams at (313) 965-9419 Ext. 16341 or 16342 or Fax (313) 965-9694
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