Donate by Personal Check or Money Order 1. Please fill out the form below. 2. Make your tax-deductible check or money order payable to LHWE and mail to:
1. Please fill out the form below. 2. Make your tax-deductible check or money order payable to LHWE and mail to:
NOTE: IF YOU DO NOT ENTER A CORRECT EMAIL ADDRESS BELOW, LHWE WILL NOT RECEIVE ANY OF YOUR INFORMATION. Title: Choose Title Rev. Mr. Mrs. Ms. Miss Dr. Full Name (First, Last): Address: City: State: Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming Zip: Country: Choose a country Argentina Australia Austria Bahamas Belgium Bolivia Brazil Canada Chile China Colombia Costa Rica Croatia Cuba Czech, Rep. Denmark Dominican, Rep. Ecuador Egypt El Salvador Finland France Germany Greece Guatemala Honduras Hong Kong India Ireland Israel Italy Jamaica Japan Luxembourg Mexico Morocco Netherlands New Zealand Nicaragua Nigeria Norway Paraguay Peru Poland Portugal Puerto Rico Russia Saudi Arabia South Africa Spain Sweden Switzerland Taiwan Turkey United Kingdom United States Uruguay Venezuela Other... Phone: E-mail: Donation Amount: Check #: Comments:
NOTE: IF YOU DO NOT ENTER A CORRECT EMAIL ADDRESS BELOW, LHWE WILL NOT RECEIVE ANY OF YOUR INFORMATION.