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Adopt-A-Bed Sponsor
Donation Amount *



$
$600 Single Room Donation, $1200 Double Room Donation, $2400 Quad Room Donation
Name *
First Name
Last Name
Title
Organization or Company
If donating for an organization or company add name & please include their address below.
Address *
Address Line 1
Address Line 2
City
State
Zip
Email *
Phone *
Anonymous Donation

Door Plaque Name *
Please type how you would like the name to appear on the Door Plaque.
 I would like to pay the 3rd party processing fee to ensure my entire donation goes to The LCADA Way
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We Accept These Major Credit Cards

Questions: Call Joseph Matuscak at 440.989.4919 or email at jmatuscak@thelcadaway.org

Thank you for your donation!