Fundraiser | LCA Knights

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Haiti Relief Fundraiser
Donation Form

Minimum donation is $20

First Name

Last Name

Phone

Email

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Student's First Name

Student's Last Name

I agree that the amount I'm donating is $20 or more

Enter the amount you wish to pay:

$

Thanks for your donation!

Haiti Relief FUNDRAISER

10% of all collected funds from this Fundraiser, will be donated to earthquake relief in Haiti.

615-223-0451

lcainformation@lcaknights.com

150 Soccer Way

Smyrna, TN 37167

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