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2750 N.

Little Blue Road


Shelbyville, Indiana 46176
Dwayne Bullman, President

A sponsorship for classes for Shelby County Western Riders is a tax-deductible donation for you
as SCWR is a nonprofit organization.
Please fill out the following information and cut off the receipt at the bottom for your tax
records. This information is all the IRS requires for a donation of less than $250.
We appreciate your support of our saddle club and its horse shows.
Date of your donation ____________________________________________________
Your organizations name _________________________________________________
Your name _____________________________________________________________
Your address ___________________________________________________________
Amount donated ________________________________________________________
You can mail your tax-deductible contribution to our treasurer: Bill Taylor, 1612 E Freeport
Road, Morristown, IN 46161-9625
--------------------------------------------------------------------------------------------------------Please cut off this portion for your tax records.
Date of your donation _____________________________________________________
Your organizations name __________________________________________________
Your name ______________________________________________________________
Your address ____________________________________________________________
Amount donated _________________________________________________________

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