Enclosed is my tax-deductible gift payable to Seacology.
Please send the completed form to Seacology, 1623 Solano Ave., Berkeley, CA 94707.
$35___ $50___ $100___ $250___ $500___ $1,000___
NAME (please print clearly)
Please charge my VISA___ M/C___ AMEX___ JCB___
Exp. Date ________________ CVV Code _________________
(The CVV code is the last three digits on the signature strip on the back of your
VISA/MasterCard or the four digits on the front of your AMEX card.)
NAME ON CARD
CREDIT CARD BILLING ADDRESS (if different from above):
[ ] My company has a matching gift program. The form is enclosed.
[ ] Please keep me up to date on Seacology news with your monthly e-newsletter.
[ ] I would prefer to receive a hard copy of my receipt.
(In an effort to save paper, if people provide their email address we send their receipt online.)