Gift Information

Donation Amount*

LEF Student Ambassador Reference


If applicable, please select the name of the LEF Student Ambassador who approached you for this LEF donation

Contact Information

Please provide the contact details of the individual making the donation

Is this a gift from you and your spouse?

Spouse Name
How do you want your name listed?
I grant permission for my name to appear in LEF Publications in print and online*
  • Yes - use name
  • No - remain anonymous

Please note this response will apply retroactively to all of your transactions this fiscal year

Employer Matching Gift Program?

If you or your spouse work for a company that has a matching gift program, you can double or even triple your gift. Contact your human resources department to request a matching gift form, fill it out and send it to: LEF, 594 Marrett Road, Lexington, MA 02420 or email your form to

Matching Gift Employer Name
State / Province*
Confirm Email*

Payment Information

Name on Card*
Card Number*

Security Code

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