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LA SCCC

Thank you for Giving HOPE to our Louisiana
& supporting the 2019 Louisiana State
Combined Charitable Campaign!

All donors are required to designate to at least one 
approved charitable organization from the 2019 LA SCCC Charity List. 

(To learn more about the LA SCCC and the participating charities,
please visit www.LASCCC.org)


To make a One-Time Paid Contribution (via bank draft or credit card) please complete the form below:

Total Amount
LA SCCC One Time Gift

MY INFORMATION

Please find your Agency # & Employee Personnel # on your Remuneration Statement (top left corner)

MY DESIGNATION:

“Total Designation Amount” value must equal “Total Amount” of your donation in order to submit your contribution.

We recommend that you do not use auto-fill to complete the payment section.

Total Designation amount should be same as the Total Amount