Online Giving

Donor Information

*=required information

Date
08/29/2025

First Name


Last Name


Business/Organization


*Address


*City


*State
Select your state AL - AlabamaAK - AlaskaAZ - ArizonaAR - ArkansasCA - CaliforniaCO - ColoradoCT - ConnecticutDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiID - IdahoIL - IllinoisIN - IndianaIA - IowaKS - KansasKY - KentuckyLA - LouisianaME - MaineMD - MarylandMA - MassachusettsMI - MichiganMN - MinnesotaMS - MississippiMO - MissouriMT - MontanaNE - NebraskaNV - NevadaNH - New HampshireNJ - New JerseyNM - New MexicoNY - New YorkNC - North CarolinaND - North DakotaOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVT - VermontVA - VirginiaWA - WashingtonWV - West VirginiaWI - WisconsinWY - WyomingD.C. - District of Columbia

*Zip


Country


*Contact Phone
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Email (Will be used for sending a confirmation email)


My billing name and/or address is the same as above
My billing name and/or address is different than above

Billing Information

First Name


Last Name


Business/Organization


Address


City


State
Please make a selection AL - AlabamaAK - AlaskaAZ - ArizonaAR - ArkansasCA - CaliforniaCO - ColoradoCT - ConnecticutDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiID - IdahoIL - IllinoisIN - IndianaIA - IowaKS - KansasKY - KentuckyLA - LouisianaME - MaineMD - MarylandMA - MassachusettsMI - MichiganMN - MinnesotaMS - MississippiMO - MissouriMT - MontanaNE - NebraskaNV - NevadaNH - New HampshireNJ - New JerseyNM - New MexicoNY - New YorkNC - North CarolinaND - North DakotaOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVT - VermontVA - VirginiaWA - WashingtonWV - West VirginiaWI - WisconsinWY - WyomingD.C. - District of Columbia

Zip


Contact Phone
--

Gift Information

Gifts of any amount are welcome

Donor History
First-time Donor Returning Donor

*Gift Amount (do not include the '$' sign in the amount)
$

Please use my gift
Where the Need is the GreatestTo renew my scholarship(s)To establish a new scholarship(s)Food PantryGolf OutingVeterans MemorialOther

If you wish your gift to be used other than the options listed above, please enter in the comment box below how you would like it to be used.

I wish to have my gift distributed to:

1 Student

2 Students

Other (please specify)

I wish my scholarship to be named/renamed


I wish the following criteria be placed on my scholarship

I wish to have my gift distributed to

1 Student

2 Students

Other (please specify)

I wish my scholarship to be named


I wish the following criteria be placed on my scholarship

This gift is

In honor of


In memory of

Please notify the following of my gift (name/address)



Scholarship information is listed in college and foundation publications and other publicity materials unless requested below.
I do not wish to have any publicity regarding my donation to Lake Land College Foundation.

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