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Los Angeles Leadership Academy Donation Form

WE THANK YOU FOR HELPING US SUCCEED! Your support to help us succeed does not go unnoticed. You may donate online below or if you prefer to provide a donation by phone please email Grissette Ortiz: [email protected]

Donation Amount*

Answer required for "Donation Amount"

$20.00

$50.00

$100.00

$250.00

$500.00

$1,000.00

Other:

Designation of donation(club/sport/program name to receive donation)

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Message

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Contact Information

Please complete your contact information and a donation receipt will be sent to you upon receipt.

First Name*

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Last Name*

Answer required for "Last Name"

Street Address

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City

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Zip/Postal

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Phone*

Number Required

Confirmation Email

Confirmation Email *

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