Gift & Payment Information
Field Is Required
Select Gift Amount:
You are making a gift to Dan Seibel
PLEASE NOTE: The information entered in the section below will be included on your electronic Tax Receipt (only donations of $25+ are receiptable). If you are entering in a donor's information for a gift you collected, enter in the donor information below (this will appear on the tax receipt) and then your credit card details at the bottom of the page.
PLEASE NOTE: The email address entered above will be sent an electronic tax receipt. If you are entering in a gift you collected personally as a participant, please include the donor's email above and not your own.
Credit Card Information: