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Secure Online Storm Club Donation Form

First Name Employer Name
Middle Name Title
Last Name Street Address
Former/Maiden Name Suite #
Street Address   City
Apt/Unit/Suite State
City Zip Code
State Phone
Zip Code Fax #
Phone # Email
Email Matching Gift Company
 

Relationship to Lake Erie College (Check all that apply)
         
If you are an Alumnus/a, what is your class year?  


Billing Information  (As it appears on your credit card/checking account)
First Name
Middle Initial
Last Name
Street Address
Apt/Unit/Suite
City
State
Zip Code

Gift Details
Apply gift to (select team)

If you do not make a selection, your gift will be designated to the unrestricted Department of Athletics account.  If you wish to designate your gift to another purpose, please contact Griz Zimmermann at 440.375.7480 or griz@lec.edu.

Payment Method

   
Amount


NOTE: A member of the Storm Club or Development staff will contact you regarding payment processing. For proper processing, click the submit button only one time. It may take a few minutes for the form to submit.