SIMA Donor Contact Information
Thank you for providing the following information for your tax-receipt.
* Required
Name
*
Your answer
Email
*
Your answer
Mailing Address
*
Your answer
I am making a donation via Bank Transfer in the amount of:
Your answer
My donation is:
one time
recurring
Clear selection
SIMA may list my name in recognition of the donation on the website:
Yes
No, Thank you. I wish to remain anonymous.
This donation is in honor of someone. Please list their name on the SIMA website.
Clear selection
My donation is in honor of:
Your answer
THANK YOU FOR SUPPORTING SIMA
*Your personal Information is for SIMAs internal use only. It will not be shared with anyone under any circumstances.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms