Please Visit Our New Website to Donate to the LGS Foundation

Please visit our new website to donate to the LGS Foundation.

Thank you!!

Suggested Donation Amounts:

$100

$50

$25

$15

Other Amount:

$500.00

$250.00

$100.00

$50.00

$25.00

Other Amount:

This is a one time donation

Make this a recurring donation deducted

Your Info:

First Name: Last Name: Email: Phone: Address: City: State: Zip: - Territory (Foreign) Country:

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Dedicate this donation in Honor of or in Memory of someone:

What is the name of the person impacted by LGS that you donating on behalf of? Is this donation to honor someone who is living (in Honor of) or to remember someone who has passed (in Memory of)? Is there someone in the family that we can tell about your generous donation made on their behalf? If so, what is their email? What is their phone number? Would you like to share a note with this person? Would you like your name to remain anonymous when we tell them about this donation?

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Will your company match this donation?

Match Company Name (leave blank if none): Company Contact: Email: Phone:

If you prefer, you may mail a check to:

LGS Foundation
6030 Santo Road, Suite 1
Unit 420878
San Diego, CA 92142

EIN: 26-2051377

Billing Information

Payment method: Credit Card
American Express

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Card:

Cardholder First Name: Cardholder Last Name: Cardholder Email: Billing Address: City: State/Province: Zip Code: - Country:

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E-Check Billing Information Routing Number: Account Number: Account Type: Account Holder First Name: Account Holder Last Name: Billing Country:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

Click this button to make your payment via PayPal.
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