SEEQS Donation (Step 1 of 2)
Thank you for your support of SEEQS! There are two quick steps to follow:

Step 1 - Enter donor information (this form)
Step 2 - Enter payment information (redirects to PayPal)

1. First and Last Name *
Your answer
2. Name as you would like it to appear in our donor listing *
3. Optional: Company Name (For Matching Gift)
If your company will match this gift, please provide Company Name. If not, please skip this question.
Your answer
4a. Optional: Tribute Gift
If this is a tribute gift, please provide additional information. If not, please skip this question.
4b. Optional: Name for Tribute
Your answer
4c. Optional: Email Address for Tribute
Please provide an email address if you would like SEEQS to send your tribute a notice of this gift on your behalf.
Your answer
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