On-line Sponsorship Form


 

If you prefer not to use the form below, you may call us at 417-779-5374 and let us know the nature of your call so that it will be directed to the proper person. Feel free to also contact sheila@lucboys.org. We can take your information and run any credit cards for you. Thank you.

 

 

Your Full Name:     
Address 1:  
Address 2 (optional):  
City :  
State:  
Zip Code:  
International Province/Territory   Country
  
Date:  
Day Phone:  
Evening Phone (optional)  
E-Mail:  
How did you hear about LUC?  
Specify from above:  
Boy Type:  
 When you don't know a particular boy but want help in choosing one.
Specific Info:      In response to above choice.
Boys Full Name:  
Payment Method:  
Support Amount $     
Frequency  
     
Name as it appears on Card  
Card Number  
Expiration Date     mo/year
Three Number Code on Back    cvv2
Payment Method:  
Support Amount $     
Frequency  
Other Comments  

Please, click "Submit" only Once!

   

 


Lives Under Construction Boys Ranch, Inc.
296 Boys Ranch Road  ~  Lampe, MO 65681
Contact Person: Ken Ortman, Administrator
Phone: 417-779-5374     Fax: 417-779-
2106
Send mail to sheila@lucboys.org with questions or comments about this web site.
Copyright 2003  Lives Under Construction Boys Ranch, Inc.
Last modified: February 21, 2016


 

 

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