Individual Donations

Please complete the form below and click on "Submit Donation" to make your tax-deductible donation.

To submit this form, all "*" fields must be filled in. 

Donation Information

 

Amount to donate*:
$25
$50
$100
$150
$200
Other:  $
   
Salutation
First Name*
Last Name*
Company
Address*
City*
State / Zip*
Telephone*
Email*
 

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Credit Card Type*

Number on Card*
Expiration Date*

 /

Card Security Code*
Name as it appears on card

 

 

Acknowledgment

For all donations, please list your name(s) as you would like it to appear in our  program listings (separated by commas): 

I would like this donation to remain anonymous

 

Dedication Information (Optional)

 

Dedication type:
Name
Personal note to be included with donation

Dedication acknowledgment information:
Acknowledge by
First Name
Last Name
Address
Email
 

 

 

      

Other Ways to Give

Give by Phone
You can make a gift by calling:

575-646-3709

Give by Mail
You can also give by printing this form and mailing to:

LCSA
PO Box 1622
Las Cruces, NM 88004