Mailed Donation - Printable Form

Please fill out the form below and make your check or money order payable "Lutheran Social Services." Mail the check or money order with a copy of this form to:
Lutheran Social Services of the South
Attention: Agency Advancement
P. O. Box 140767
Austin, Texas 78714-0767
LSS does not sell or share information about our valued supporters. Call us at 1-800-938-5777 or 512-459-1000 if you have any questions or concerns. On behalf of the thousands served by LSS each year, thank you for your prayers and support!

*Gift Amount:           
*Ministry:
Other (Specify):
Special Instructions:
*Donor Name(s):
*Address:
*City/State/Zip:
*Phone:
*Email:
  I would like to make the gift ...
in memory of:
in honor of:

Please send notification of 
this memorial/ honorarium to:

Name:
Address:
City/State/Zip:

   

© 2010 Lutheran Social Services of the South, Inc.
8305 Cross Park Drive,
Austin, TX 78754