LOV Donation Form

MAKE A DONATION

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Primary Number (000 000-0000) *

Email Address

**If payment is made by check, please use the cancelled check as your transaction receipt for a Tax Deductible Donation. The printed receipt is not meant to be a receipt for tax purposes.**

Select Donation Amount (Payment through paypal)

$35.00 (Recommended)

$25 Donation

I will enter other amount below

Enter Other Donation Amount

PayPal Fees

Processing Fee (2.20% of total)

Transaction Fee ($ .30 )