Please enter the fundraiser that is affiliated with this request. e.g. This information will be included on the actual voucher. For Example: Gloria Gemma Fundraiser at LCC
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Fundraiser Date *
Please enter the date of the fundraising event.
MM
/
DD
/
YYYY
Fundraiser Contact Name *
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Fundraiser Contact Phone Number *
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Fundraiser Contact Email *
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Sponsoring LCC Member *
Please enter the full name of the current LCC member that is sponsoring this request.
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Comments
e.g. link to website, fundraising letter, etc.
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A copy of your responses will be emailed to the address you provided.