Annual Fund Pledge Form

Making a pledge to the Annual Fund is the perfect solution for those who want to commit now but fulfill later. If that sounds like a good option for you, please fill out the below form. Once we’ve received your pledge, we will send a confirmation letter. Thank you for your commitment to LILA!

PS- LILA was founded in 1978 so you’ll find an option below to join the Founders’ Circle by giving $1,978 or more.

Leslie Galerne ’97, Community Engagement Manager

    Donor First Name (required)

    Donor Last Name (required)

    Donor Email (required)

    Pledge Amount (required)

    $10,000$5,000$2,000$1,978$1,000$500$100Other

    If other, please specify

    Pledge Payment Date (required)

    Campus Affiliation (check all that apply - required)
    BurbankLos FelizPasadenaOrange CountyWest ValleyNone

    School Affiliation (check all that apply - required)
    ParentPast ParentGrandparentFriendEmployeeBoard MemberAlumni

    Student Information (please list all currently enrolled LILA students and grade if applicable)

    How would you like the donor name(s) shown on the Annual Report Donor Roll? (required)

    Employer Match (required)
    yesno

    Employer Name:

    Electronic Signature: (required)

    I understand that checking this box constitutes a legal signature (required)

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