Waitsburg Lions Club Donation Form
Thank you for your interest in donating! After filling out the form someone from the Waitsburg Lions Club will contact you. 

Information you share will only be used by Waitsburg Lions Club, you will not be added to any email lists, but only contacted by a Waitsburg Lions Club Member.
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What is your name? *
Where do you live? *
What is your phone number? *
What is your email? *
What are you interested in donating? *
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This form was created inside of Tall Town Design, Incorporated.