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.

Billing Address*

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

Credit Card

Card Details

Cardholder Name

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.

Wishes

If you wish to donate in the name of anyone, please enter your wishes. Also, if you wish to direct your gift to a particular LCA program or need (e.g., program development, teacher development, scholarships), please enter your specification. We can contact you for more details, if you request it.

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