cypHER Personal Donation with Company Match

Online Payment Options:

Offline Payment Options:

Check - If paying by check, please remember to include your check number in the specified text box. Directions for submitting your payment are provided on the payment confirmation page.
Electronic Giving Site (EGS) - If paying by an EGS, you are required to complete as many fields as possible in the "Electronic Giving Site Information" section during the checkout process.
Zelle - Directions for submitting your payment are provided on the payment confirmation page.

Item Description		Price	Qty
	cypHER Personal Donation with Company Match	$50.00$100.00$250.00$350.00$500.00	reset selection

Employer Information for Match
Company Name Expected Match ($) Company POC Name Company POC Email EGS Payment Notes: If you are making a payment via your employer's electronic giving site (EGS), select "YES" for EGS Payment If you selected "YES" for EGS payment, please complete the section: Electronic Giving Site Information before proceeding to the Payment Type section. If you selected "NO" for EGS payment, please complete the section Payment Type and then click "Save and Checkout".

Electronic Giving Site Information
Notes: Please complete this section if you are making a payment/donation via your employer's EGS. When submitting your payment/donation via your employer's EGS, please add a note (if possible) indicating that it is for: HTHS cypHER. This is to aid payment tracking. If you were able to add a note indicating the payment is for HTHS cypHER please select "YES" for that dropdown menu option. EGS Name Date of EGS Submission EGS Tracking Number Payment Indication Note

Payment Type
Notes: If paying by check, please enter the check number in the space provided. Specific instructions for submission of offline payments are provided on the "Confirm Order" page of the checkout process. Payment Type Check Number Please complete this field only if you are paying by check.