Banner Selection Form:
La Crosse Area Family YMCA
Name
*
First Name
Last Name
Company Name
Optional
Contribution
*
$1,000 - $2,499 (displayed at 1 Y location)
$2,500 - $4,999 (displayed at both)
$5,000 - $9,999 (displayed at both)
$10,000+ (displayed at both)
I wish to have my banner displayed at the
*
Dahl Family YMCA (La Crosse)
R.W. Houser Family YMCA (Onalaska)
I wish to keep my gift anonymous and forego the option of a banner.
*
Yes
No
Please type exact wording of the donor/sponsor name to appear on the banner below.
*
File Upload. If displaying a company logo, please upload the file here:
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