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DONATIONS


Please use the following form to donate funds to HSS. All donations are tax deductible. After processing the donation, you will be able to print out your receipt and certificate of donation for your records.

All fields in RED are required.

First Name:
Last Name:
Title:
If you are entering a donation as a corporate sponsor please indicate your specific job title
Company:
Leave blank if donating as an individual
URL: http://
Based on the amount of funds donated to HSS you may qualify to have a link placed on our sponsors page. Please let us know your company's or individual website.
Email:
Address:
City:
Please list your City, Province and Country in this area if outside the US
State: (If in the US)
Zip:
Phone: Example 555-555-5555
Fax: Example 555-555-5555
Amount: $
Please enter the amount of the donation WITHOUT a dollar sign. Example "$350.00" would be entered as "350.00"
Comment:
Signature:
Please enter your full name above. By signing the above field you confirm your donation to HSS. You will have an opportunity after this form is filled to either cancel or modify any of the above information including the donated amount.

 
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