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___

Other $________________

NAME (please print clearly)

___________________________________________

ADDRESS

________________________________________________________

CITY/STATE/ZIP CODE

______________________________________________

PHONE

_________________________________________________________

EMAIL

__________________________________________________________

Please charge my VISA___ M/C___ AMEX___ JCB___

Card Number:

_____________________________________________________

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):

ADDRESS

________________________________________________________

CITY/STATE/ZIP CODE

______________________________________________

[   ] 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.)

COMMENTS:

Thank you for your tax-deductible gift to Seacology!