CASA of Luzerne County Donations

Donation Amount

Did you know that by covering the processing fee, CASA OF LUZERNE COUNTY will be able to help more people?

I'd like to cover the fee so 100% of my donation goes to the nonprofit ( %ProcessingFee% ).

Make this donation in honour of an individual

Tribute Information

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I would like to send a card

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Sender details

Sender name

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Recipient details

Recipient name

Recipient email

Card Message (Optional)

I would like to send the E-card on a future date

First Name

Last Name

Recipient address (line 1)

Recipient address (line 2) (Optional)

Country

Province

State

City

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Phone Number

Email Addresss

Donor Information

Name

First Name

Last Name

Organization Name

Contact Information

Address 1

Address 2 (Optional)

Country

State/Province

State

State/Province

City

Postal/Zip Code

Phone Number (Optional)

Email Address

Your support matters to us, so CASA OF LUZERNE COUNTY would like to use your information to keep in touch about things that may matter to you. If you choose to hear from CASA OF LUZERNE COUNTY, we may contact you in the future about our ongoing efforts. Please click here to sign up for our email list.

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Payment Information

Card Holder Name

Card Number

Expiry MM

Expiry YY

CVV (?)

Bank Name

Bank ID

Cheque Number

Transit Number

Account Number

Your privacy is important to us, so CASA OF LUZERNE COUNTY will keep your personal data secure and CASA OF LUZERNE COUNTY will not use it for marketing communications which you have not agreed to receive. At any time, you may withdraw consent by emailing or by contacting our Privacy Officer. Please see our Privacy Policy

Your donation to CASA of Luzerne County