Annual Club Giving Payment Form

Pay with a card below. If you would like to submit your ACG by check, send your check with the information requested in the form below to the District Office at 10000 Celtic Drive, Ste 706, Baton Rouge, LA 70809.

Please confirm your club’s ACG payment BEFORE submitting

Annual Club Giving (ACG) Payment Form

Contact Name: (who is submitting this form)(Required)
Please ensure your donation is equal to your club's Oct 1, 2024 membership number multiplied by the level amount/member selected.
Name on Card Name:(Required)
Billing Address for Card:(Required)
BANNER PATCH: (check to acknowledge)(Required)
Credit Card:(Required)
Refund Policy(Required)

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