LLS Matching Gifts Form

Matching Gifts & Volunteer Grants Form

*Per IRS guidelines registration fees, sponsorships, ticket sales and auction items are NOT eligible for matching gifts.

Office *

Not sure which office to pick? Go here and enter your zip code.

Which campaign are you fundraising for? *

Event: *

Is this for one of these events:
Re(Solution) Challenge
Resilience Challenge
Team@Work *

Yes

No

Is this a Volunteer Grant? *

Yes

No

Was an auction item included with this donation? *

Yes

No

Amount of the donation only: *

Are you an LLS Staff person completing this form on behalf of a fundraising participant? *

Yes

No

LLS Staff First and Last Name *

LLS Staff Email Address * 🛈

Submitter's First and Last Name: *

Submitter's Email Address: * 🛈

LLS Fundraiser's First and Last Name *

LLS Fundraiser's Fundraising Team Name (if applicable)

LLS Fundraiser's Email Address *

Is the event/fundraising deadline happening with in the next 96 hours? *

Yes

No

Date of Event: * +

The form will allow you to submit a max of FIVE matches for the same fundraising individual. Thank you!

How was this donation processed? *

Employer Portal: *

Other Employer Portal: *

Employer: *

Donor Name: *

Donor Email Address: *

Donation Date: * +

Volunteer First and Last Name: *

Volunteer Grant Company Name: *

Volunteer Grant Amount: *

Volunteer Grant Date: * +

Where should this be credited? *

Individual Fundraiser

Team/Classroom

Is there a matching gift? *

Yes

No

Matching Company Name: *

Matching Gift Amount: *

*If the matching gift amount is less than or greater than the donation amount, please verify that the added documentation shows that, otherwise, we will assume the match is a 1:1 ratio.

Do you have another matching gift request to submit for the above mentioned fundraiser? * 🛈

Yes

No

How was this donation processed? *

Employer Portal: *

Other Employer Portal: *

Employer: *

Donor Name: *

Donor Email Address: *

Donation Date: * +

Matching Company Name: *

Matching Gift Amount: *

*If the matching gift amount is less than or greater than the donation amount, please verify that the added documentation shows that, otherwise, we will assume the match is a 1:1 ratio.

Do you have another matching gift request to submit for the above mentioned fundraiser? * 🛈

Yes

No

How was this donation processed? *

Employer Portal: *

Other Employer Portal: *

Employer: *

Donor Name: *

Donor Email Address: *

Donation Date: * +

Matching Company Name: *

Matching Gift Amount: *

*If the matching gift amount is less than or greater than the donation amount, please verify that the added documentation shows that, otherwise, we will assume the match is a 1:1 ratio.

Do you have another matching gift request to submit for the above mentioned fundraiser? * 🛈

Yes

No

How was this donation processed? *

Employer Portal: *

Other Employer Portal: *

Employer: *

Donor Name: *

Donor Email Address: *

Donation Date: * +

Matching Company Name: *

Matching Gift Amount: *

*If the matching gift amount is less than or greater than the donation amount, please verify that the added documentation shows that, otherwise, we will assume the match is a 1:1 ratio.

Do you have another matching gift request to submit for the above mentioned fundraiser? * 🛈

Yes

No

How was this donation processed? *

Employer Portal: *

Other Employer Portal: *

Employer: *

Donor Name: *

Donor Email Address: *

Donation Date: * +

Matching Company Name: *

Matching Gift Amount: *

*If the matching gift amount is less than or greater than the donation amount, please verify that the added documentation shows that, otherwise, we will assume the match is a 1:1 ratio.

Facebook Fundraiser Donation Matching Gifts

In order to receive credit for a matching gift associated with a donation through a Facebook Fundraiser, The Leukemia & Lymphoma Society must also be provided with:

The receipt from Facebook that contains the amount, date and time-stamp of the donation, which can be found in the actual email sent from Facebook. For example:

From: Facebook <notification+kh-vjuj_@facebookmail.com>
Date: Tue, Aug 14, 2018 at 12:52 AM
Subject: Your Facebook fundraiser donation receipt
A screenshot of the “Facebook Donor” donation that correlates with the same date and time-stamp.

Please submit PDF files. For instructions, click here.

Facebook Receipt *

Facebook Screenshot *

Proof of Donation and/or Matching Gift OR Volunteer Grant

In order to receive credit for a total funds match, volunteer grant, Facebook donation matching gift, payment or match from Benevity or YourCause BEFORE funds are received, The Leukemia & Lymphoma Society must be provided written confirmation that the funds are forthcoming. Please upload proof below which must include the donor's name, company name and amount being matched. Once submitted, the credit will be reflected on your fundraising webpage within two weeks.

Please submit PDF files only, we are unable to open Outlook attachments. Anything containing an Outlook attcahment will be returned, and could result in a delay. For instructions, click here.

Proof of Donation or Matching Gift *

Second file (if needed)

Proof of Donation or Matching Gift *

Additional Information:

You will receive a copy of this request. Would you like someone else to receive a copy as well, if so, please enter their email.