Littleton Hockey Association Fundraising Request Form
Fundraising Reminder

Littleton Hockey is a 501-C3; LHA EIN: 84-6045840.

LHA will retain 15% of all fundraising proceeds. All checks need to be made payable to LHA or Littleton Hockey Association. LHA will then transfer 85% of the proceeds to your team account.

Once approved you may use this sheet as a receipt for tax purposes.

Thank you! LHA Fundraising and Community Service

Please Enter Today's Date *
Enter Team Name *
Briefly State the Name of Your Fundraiser *
Provide Dates of Fundraising Effort *
Provide Estimated Fundraising Proceeds Expected and Potential Benefit for LHA *
Please Provide Name of Partnering Business *
Please Provide Partnering Business Address *
Please Provide Partnering Business Contact Name *
Partnering Business Contact Phone Number *
Team Contact Name *
Team Contact Email Address *
Team Contact Phone Number *
If Relevant, Attach Fundraising Flyer Here
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