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Donation Amount
*
$
Frequency
One Time
Monthly
Quarterly
Yearly
Please use my gift for:
*
select one
Wherever the need is greatest
The Lighthouse Fund
Education Programs
Water Quality
Contact Information
Your Name
*
First Name
Last Name
Spouse/Partner Name
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Would you like to add a secondary address?
Yes
Secondary Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Phone
What is your favorite lake or pond?
*
select one
Baptist Pond
Blaisdell Lake
Chalk Pond
Dutchman Pond
Goose Hole Pond
Lake Sunapee
Kezar Lake
Lake Kolelemook
Ledge Pond
Little Lake Sunapee
Messer Pond
Morgan Pond
Mountainview Lake
Otter Pond
Perkins Pond
Pleasant Lake
Todd Lake
Other (please indicate)
Other lake or pond
*
Is this a memorial or honorary gift?
select one
Honorary
Memorial
Name of person being honored or remembered
*
Prefix
First Name
Last Name
Suffix
Honoree Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Honoree Email
Verify Email
Would you like us to notify someone about this gift?
Yes
Person to notify
*
First Name
Last Name
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Email
Verify Email
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