DONATION FORM
To make a donation, please fill out the form below. You may submit the form online or print out and mail the form and payment to: LHU Softball @ 228 D Thomas Fieldhouse, Lock Haven, PA 17745
Name
Phone
Street Address
City
State
Zip Code
Email
Flat Donation Amount: $
Donation Per Home Run: $
T-shirt Size (if pledge amount matches $5 per home run or greater)
Small
Medium
Large
Extra Large
XXL
I prefer a hat
Method of Payment:
Check
Money Order
Credit Card
Please make check or money order payable to the National MS Society and mail to:
LHU Softball @ 228D Thomas Fieldhouse, Lock Haven, PA 17745. Please note that
checks will not be cashed until the end of the season.
For donations using credit card:
Visa
Master Card
Discover
AMEX
Credit Card #
Exp.
Sec. Code
(3 digit # on back of card)
Name on card
Billing Address (if different from above)
Street
City
State
Zip
Referred By: