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Happy Trails HAPPY TRAILS

Therapeutic Horsemanship
P.O. Box 270 DONATION FORM
Waterloo, IL 62298

 Mr.  Mrs.  Miss  Ms.  Mr. & Mrs.  Other ____________________

Name Spouse’s name

Contact Telephone Preferred ( ) -  Home  Work  Mobile

Address E-Mail Address

City/Town

Zip Code

Gift Amount
I am pleased to support Happy Trails Therapeutic Horsemanship:
 Honorary
 Memorial
 Other

Total Gift Amount

Method of Payment
(please select by checking one of the payment methods)

Check or cash sent with filled out donation form to Happy Trails Therapeutic Horsemanship, P.O. Box 270, Waterloo, IL 62298.

 By Check
Please make checks payable to “Happy Trails”.

Please start my payments on: _____/_____/_______  Annually  Quarterly  Monthly  One time gift  Other__________
MM DD YYYY

 By Cash

Please start my payments on: _____/_____/_______  Annually  Quarterly  Monthly  One time gift  Other__________

 By PayPal

Please start my payments on: _____/_____/_______  Annually  Quarterly  Monthly  One time gift  Other__________
MM DD YYYY

Recognition

 For the purpose of recognition, I/ We would like our names to appear as follows (please print clearly): OR:  I wish to remain anonymous

_________________________________________________________________________________

Signature _________________________________________ Date ___________________________________

All donations are tax deductible and will be receipted accordingly.

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