Donation Request Form
La Crosse Area Family YMCA

Please fill out this form 2 weeks prior to the event. If available, please provide flyer or letter outlining the details of your event to give us a better idea of the type of donation that will fit you best. Amy will be in contact with you once the form is complete.

Financial Support Specialist
1140 Main St, La Crosse, WI 54601
Donations@laxymca.org
Email address *
Date of Request *
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Contact Person Name *
Name of Organization *
Name of Event *
Date of Event *
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Tell us a little bit about your event & how our donation will help make your event a success: *
Type of Donation Requested (Actual donation is at the sole discretion of the La Crosse Area Family YMCA) *
Pick Up or Mail? *
If chose Mail above, please provide address:
Submit
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