Donor Form
Please submit the following, or if you prefer, download the .pdf form, print and mail to:
Northland Therapeutic Riding Center
P.O. Box 1267
Kearney, MO 64060
This is not a secure document. Please provide the following and we will contact you for further donation information.
Name:
Address:
City: State: Zip:
Home Phone: Work Phone:
E-mail:
$45 provides a helmet to keep our riders safe
$60 provides one therapeutic riding lesson for a child or adult
with special needs
$80 provides two hours of training for our special horses
$360 provides one, six-week therapeutic riding session for a child or
adult with special needs
$375 provides one month of food and care for one special horse
Please use my gift of $ to support:
Riders Horses Equipment Where needed most
TRIBUTE FUND
If you are interested in giving a gift as a memorial or in honor of someone's birthday or other special occasion, please complete the following information:
Memorial Birthday Special Occasion (please list)
NTRC will send an appropriate acknowledgement to:
Name of person honored:
Name of person to receive acknowledgement (if different from person honored):
Address:
City: State: Zip:
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