Donations & Payments

To make a donation or payment to the Louisiana Hemophilia Foundation, please complete the form below. Your contribution is tax-deductible to the extent allowed by law. All information transacted is safe and secure. Thank you so much for your generosity.
For more information or assistance, contact us by clicking here.

PAYMENT INFORMATION

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	Please enter the correct code for your payment or donation type: For a GENERAL DONATION, enter DONATE To purchase 2011 LHF T-shirt ($15 shipping included) , enter TSHIRT To make a MEMORIAL donation, enter MEMORIAL For LHF MEMBERSHIP, enter MEMBER To purchase RAFFLE tickets, enter RAFFLE
	Amount:

Quick Reference Amounts: Membership: Individual - $10 Family - $20 Supporting Member - $25 Supporting Family - $50 Century Club - $100 President’s Club - $200 Benefactor - $500 Other: Please Specify Amount - $ Membership: Industry Advisory Membership - $150 This is an industry based advisory committee and allows only one(1) rep per company membership. Limiting to one rep per company will keep balance throughout the industry advisory committee.