Donation Request Form

Requests for donations, which must be received in writing, are reviewed on a monthly basis by our Charitable Contributions Committee. Be sure to include background on the requesting organization, and specific event details. Requests may be mailed to:

LHI
c/o Sue Colbert, Charitable Contributions Committee
328 Front Street South
La Crosse, WI 54601

You may also complete the form below.

Name of organization:
Contact Person:
Address:
City, State, Zip:
Phone number:
E-mail address:
Event date or fundraising deadline:

Please give background on the requesting organization, the event or fundraising initiative for which you are requesting support, and how this relates to the values of LHI:

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