Campaign Commitment Form
Name
*
First Name
Last Name
Spouse Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Connection to LCCS
*
Alumni
Board Member
EITC Business Partner
Employee
Retired Employee
Grandparent of current student
Grandparent of alumni
Parent of current student
Parent of alumni
Other
I am interested in recognition opportunities. Please contact me.
Yes
No
Commitment Details
This is a
Personal Gift
Company Gift
Foundation Gift
Company Name
Foundation Name
I agree to contribute the following total amount to Lancaster County Christian School
*
Gift Commitment Total $
Paid via:
*
Cash/Check
Credit/Debit Card
Bank Account
Other
Over a period of:
*
1 year
2 years
3 years
Other
Month & Year gift will begin:
*
month & year
Submit
Should be Empty: