Donation Form

Your support for Lacasa Inc. impacts our community in a lasting way.

If you want to automate your investment in Lacasa Inc., consider setting up a recurring donation. Thanks!

For more information please email Heidi Stoltzfus McHugh or call (574) 533-4450.

Donation Information

Amount

$25

$50

$100

Type of Donation

One Time DonationRecurring Donation

Gift Notes (If this gift is a tribute, please include name and address of where to send acknowledgments)

Type of Tribute

Tribute Name

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Lacasa, Inc. and I will donate $0.00.No. I will donate $0.00 and Lacasa, Inc. will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Privacy Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.