PAYMENT REMITTANCE

You may pay for the deposit or entire program by VISA VISA, MasterCard Master Card, check, money order, or cash. Payment should be in U.S. dollars. Make checks payable to "SEEDS".

For payment by credit card, call us or fill out the form below and mail to us.

Type of Card: Visa_____ Master Card_____

Card Number:

Expiration Date: _______________

Amount Authorized: $__________________

Name as is appears on the card (please print)

Address where card is billed:

Street address

City state zip

Phone

Signature of Cardholder: