Sample Page – Las Cruces Academy

Donation amount*

Please enter the amount you wish to donate in U.S. dollars. We accept donations of $10 to $10,000 through this form. If you wish to donate a larger or smaller amount, please contact us.

Name*

First Middle Last

Please provide the name you want us to acknowledge the donation under.

Email*

We will send a donation receipt to this email address. We won't send any other emails to this address unless you opt in elsewhere.

Credit Card

Card Details

Cardholder Name

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This address is used only to protect against credit card fraud. We won't mail you requests for more donations.

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