Thank you for your interest in making an online donation to the Thomas G. Labrecque Foundation. We are a 501c3 non-profit corporation with federal tax I.D. #57-1151066. Donations are tax deductible to the extent allowed by law.
To make an online donation, you must have - a MasterCard or Visa and an E-mail address (to receive your electronic confirmation). If you do not have both of these, you can print this page and fax it with your credit card information or mail it with your check or money order to:
Thomas G. Labrecque Foundation 1414 Prince Street, Ste. 400 Alexandria, VA 22314 703-997-8907 Fax
Asterisk * denotes REQUIRED field First Name: * Last Name: * Address: * Address Line 2: City: * State: * -- Select your state here -- Alabama -- AL Alaska -- AK Arizona -- AZ Arkansas -- AR California -- CA Colorado -- CO Connecticut -- CT Delaware -- DE Dist. of Columbia -- DC Florida -- FL Georgia -- GA Hawaii -- HI Idaho -- ID Illinois -- IL Indiana -- IN Iowa -- IA Kansas -- KS Kentucky -- KY Louisiana -- LA Maine -- ME Maryland -- MD Massachusetts -- MA Michigan -- MI Minnesota -- MN Mississippi -- MS Missouri -- MO Montana -- MT Nebraska -- NE Nevada -- NV New Hampshire -- NH New Jersey -- NJ New Mexico -- NM New York -- NY North Carolina -- NC North Dakota -- ND Ohio -- OH Oklahoma -- OK Oregon -- OR Pennsylvania -- PA Rhode Island -- RI South Carolina -- SC South Dakota -- SD Tennessee -- TN Texas -- TX Utah -- UT Vermont -- VT Virginia -- VA Washington(State) -- WA Washington D.C. -- DC West Virginia -- WV Wisconsin -- WI Wyoming -- WY -- U.S. Territories -- American Samoa -- AS Guam -- GU Puerto Rico -- PR American Virgin Islands -- VI Postal Code: * Country (if not USA): -- Choose a Country if not USA -- Anguilla Argentina Australia Austria Belgium Brazil Canada Chile China Costa Rica Denmark Dominican Republic Finland France Germany Greece Hong Kong Iceland India Ireland Israel Italy Jamaica Japan Luxembourg Mexico Netherlands New Zealand Norway Portugal Singapore South Korea Spain Sweden Switzerland Taiwan United Kingdom United States of America Company Use the above field if you want to utilize your company's matching program E-mail Address: * Active E-mail address required to receive electronic confirmation! Optional I would like to make this donation in honor/in memory of I would like a letter sent to the following individual/family notifying them of my donation (if over $100) Name Address City State -- Select your state here -- Alabama -- AL Alaska -- AK Arizona -- AZ Arkansas -- AR California -- CA Colorado -- CO Connecticut -- CT Delaware -- DE Dist. of Columbia -- DC Florida -- FL Georgia -- GA Hawaii -- HI Idaho -- ID Illinois -- IL Indiana -- IN Iowa -- IA Kansas -- KS Kentucky -- KY Louisiana -- LA Maine -- ME Maryland -- MD Massachusetts -- MA Michigan -- MI Minnesota -- MN Mississippi -- MS Missouri -- MO Montana -- MT Nebraska -- NE Nevada -- NV New Hampshire -- NH New Jersey -- NJ New Mexico -- NM New York -- NY North Carolina -- NC North Dakota -- ND Ohio -- OH Oklahoma -- OK Oregon -- OR Pennsylvania -- PA Rhode Island -- RI South Carolina -- SC South Dakota -- SD Tennessee -- TN Texas -- TX Utah -- UT Vermont -- VT Virginia -- VA Washington(State) -- WA Washington D.C. -- DC West Virginia -- WV Wisconsin -- WI Wyoming -- WY -- U.S. Territories -- American Samoa -- AS Guam -- GU Puerto Rico -- PR American Virgin Islands -- VI Postal Code Donation Payment Method Visa Mastercard Donation Amount: $25.00 $50.00 $100.00 $200.00 $300.00 $500.00 Other donation Other Amount: Credit Card Number: Enter numerals only-no dashes or spaces. (No debit cards!) Expiration Date: 123456789101112 201320142015201620172018
First Name: *
Last Name: *
Address: *
Address Line 2:
City: *
State: *
-- Select your state here -- Alabama -- AL Alaska -- AK Arizona -- AZ Arkansas -- AR California -- CA Colorado -- CO Connecticut -- CT Delaware -- DE Dist. of Columbia -- DC Florida -- FL Georgia -- GA Hawaii -- HI Idaho -- ID Illinois -- IL Indiana -- IN Iowa -- IA Kansas -- KS Kentucky -- KY Louisiana -- LA Maine -- ME Maryland -- MD Massachusetts -- MA Michigan -- MI Minnesota -- MN Mississippi -- MS Missouri -- MO Montana -- MT Nebraska -- NE Nevada -- NV New Hampshire -- NH New Jersey -- NJ New Mexico -- NM New York -- NY North Carolina -- NC North Dakota -- ND Ohio -- OH Oklahoma -- OK Oregon -- OR Pennsylvania -- PA Rhode Island -- RI South Carolina -- SC South Dakota -- SD Tennessee -- TN Texas -- TX Utah -- UT Vermont -- VT Virginia -- VA Washington(State) -- WA Washington D.C. -- DC West Virginia -- WV Wisconsin -- WI Wyoming -- WY -- U.S. Territories -- American Samoa -- AS Guam -- GU Puerto Rico -- PR American Virgin Islands -- VI
Postal Code: *
Country (if not USA):
-- Choose a Country if not USA -- Anguilla Argentina Australia Austria Belgium Brazil Canada Chile China Costa Rica Denmark Dominican Republic Finland France Germany Greece Hong Kong Iceland India Ireland Israel Italy Jamaica Japan Luxembourg Mexico Netherlands New Zealand Norway Portugal Singapore South Korea Spain Sweden Switzerland Taiwan United Kingdom United States of America
Company
Use the above field if you want to utilize your company's matching program
E-mail Address: *
Active E-mail address required to receive electronic confirmation!
I would like to make this donation in honor/in memory of
I would like a letter sent to the following individual/family notifying them of my donation (if over $100)
Name
Donation Payment Method
Donation Amount:
Other Amount:
Credit Card Number:
Enter numerals only-no dashes or spaces. (No debit cards!)
Expiration Date:
