Silicon Web Costumers Guild (SiW)
Donation  Form

Thank you for your donation! Silicon Web Costumers' Guild is a U.S. 501(c)(3) non-profit educational organization. Your donation will help us continue our educational programs. You can optionally indicate a specific purpose for your donation. Your donation may be tax-deductable. Consult your tax advisor about your specific circumstances. If you include your email address, you will receive acknowledgement by email. Donations of US$250 or more will receive acknowledgement to your postal address for tax purposes.

$_______ Donation amount enclosed

Purpose (optional)________________________________

Donor Information:
Name ______________________________________________________

Address ______________________________________________________

City ___________________

State ____

Postal Code ____________

Country _____________________________

Email ______________________________________________________

Send checks or money orders made out to:
Silicon Web Costumers Guild, Bruce R. MacDermott

and this printed completed form to:
Bruce R. MacDermott
2801 Ashby Avenue
Berkeley, CA 94705

Please include your correct mailing address if it is different from your imprinted check address.