Unique IDDonation*$25.00$50.00$100.00$200.00$500.00Other AmountOther Amount Donations $2 and above are tax deductible.I would like to donate toWinter AppealLenten AppealChristmas AppealWhere it's needed mostBarossa ValleyAlice Springs PlaygroupFamily Zone - Ingle FarmHonour the memory of a loved oneCelebrate someone's birthdayOtherMake this a monthly donation Make this a monthly donation Your donation will be made today and on the 14th day of each following month using the payment method you selected. You may cancel or change this amount at any time by contacting us.In memory ofThank you for choosing Lutheran Community Care to celebrate the life of your loved one. We would appreciate if you can enter the contact details of the next of kin so we can let them know: Your loved one's Full NameNext of Kin NameNext of Kin Email AddressNext of Kin Phone NumberBirthdayPlease enter the contact details so we can let them know how much was donated on their behalfFamily/Friend's Full NameFamily/Friend's Email Address Your DetailsI would like to be receipted as an organisation I would like to be receipted as an organisation Organisation Name:TitleMrMrsMissMsDrRevName First Last I want this donation to be receipted in a different name I want this donation to be receipted in a different name Alternate NameAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country PhoneEmail Yes, sign me up for email and postal updates about Lutheran Community Care Yes, sign me up for email and postal updates about Lutheran Community Care Select a payment methodSelect a payment Method*Credit CardEnter Your Credit Card Details Below* MasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Yes, I agree to LCC's Online Terms and Conditions* Yes, I agree to LCC's Online Terms and Conditions What prompted you to make a donation today?Letter received in postTogether magazineThe Lutheran magazineChurch BulletinSearch Engine (Google, Bing, Yahoo, etc.)A Speaker from LCCFacebookNewspaper AdvertisementRadio AdvertisementFamily or FriendLCC's email newsletterOtherOtherCAPTCHANameThis field is for validation purposes and should be left unchanged.
