Donation Form

  • Please enter a value greater than or equal to 25.
    Credit card minimum $25
  • THIS DONATION MAY BE ELIGIBLE FOR A TAX DEDUCTION UNDER THE INTERNAL REVENUE CODE.

    " The United States Treasury Regulations and Circular 230 require all tax professionals to advise their clients that any U.S. federal tax advice contained in any written communications (including emails and attachments thereto) is not intended to be used, and cannot be used, by any recipient for the purpose of avoiding penalties that may be imposed under federal tax laws. Furthermore, no statement contained herein should be used to promote, market or recommend any federal tax transactions to third parties. Any person reviewing this information is expressly advised to consult with their own independent tax advisor with respect to any tax advice contained herein."

  • Contact Information

  • Please PRINT and MAIL this form along with your payment to:

    L.C.C.D.
    2120 Cornwall Road, Suite 5
    Lebanon, PA 17042-9788

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  • Secure Payment Placement

    All data is transmitted through a secure gateway. You will receive a confirmation email upon successful payment submission.

    Your e-mail address will not be shared with any third parties and will remain strictly with LCCD.

    By clicking the Submit Payment button, you confirm that you have reviewed this form for correctness and agree to have your credit card billed as indicated.

    Please click the Submit Payment button only once. If you receive an error or do not receive a confirmation e-mail, please contact the LCCD office at 717-277-5275.

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