"Light Up Lexington" Holiday Lighting Donation Form
Please fill out the following form so we can acknowledge your donation. We truely appreciate your help in Lighting Up Lexington. Please take time to enjoy Lexington Center this season. Happy Holidays, Justine Wirtenan and Maija Sawyer
Full Name
*
First Name
Last Name
Company Name
E-mail
*
Address
Street Address
Apartment or Unit #
City
State
Zip Code
Phone Number
*
-
Area Code
Phone Number
Amount (includes processing fee)
*
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Donate $25...
$
26.70
Donate $50...
$
52.45
Donate $75...
$
78.45
Donate $100..
$
104.20
Donate $150..
$
155.85
Donate $200..
$
207.53
Donate $250..
$
259.32
Donate $300..
$
310.98
Donate $500..
$
518.04
Type of Donation
*
Anonymous contribution
Ok to publicly acknowledge my contribution (donation amount is private)
Donation Salutation/ Dedication (for printing in local paper)
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