Membership
Corporate

  * indicates required information
* Donor Information:
* Company Name:
* Contact Person:
* Company President/CEO:
* Address:
 
* City, State, Zip:
* Phone:
Fax:
Email:
* Name as preferred on Donor Recognition Lists:
We would like to make a one-time gift of:
 
Other: $
I would like to make a pledge of $ to be paid in installments (to be charged on the first day of each billing period):
Beginning Date:
 
The Lorain County Urban League, Inc.
401 Broad Street, Suite B
Elyria, OH 44035
 

Please designate my gift as a Tribute or Memorial Gifts. Please designate my gift in honor of/memory of a friend or loved one or for a special occasion such as a birthday or anniversary.

Amount of gift $:
In memory of:
In honor of:
On the occasion of:
Please send notification of this gift to:
Name:
Address:
City, State, Zip:
Increase the size of my gift. My company participates in a matching gift program. I will mail the matching gift form.
Please contact me regarding individual/corporate volunteer opportunities
Please contact me; I have other thoughts to share
 

Questions? Please contact Kathy Groner at 440-323-3364 x21 or by email: kgroner@lcul.org

We are a 501 (C) (3) Corporation: Federal ID Number 34-1263379
 
 
 
Lorain County Urban League
401 Broad Street, Suite B
Elyria, OH 44035
Phone: 440-323-3364
Fax: 440-323-5299

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