EQUINE ADVOCATES DONATION FORM Website: www.equineadvocates.com Equine Advocates, Inc. P.O. Box 354, Chatham, NY 12037-0354 Please print & complete this form and mail with your tax-deductible donation. I want to join the real Winner's Circle by making a tax-deductible donation to be used toward the issues I have checked off below: ____ Equine Rescue ____ Opposing Horse Slaughter ____ Opposing the PMU industry ____ Preventing Equine Abuse ____ All of the above Please check the amount you would like to donate: $25____ $50____ $100____ $250____ $500____ $1000____ Other (Please write in amount) ___________ (Please print clearly) NAME: _________________________________________________________ STREET: _________________________________________________________ CITY: _________________________________ STATE: ________ ZIP: __________ PHONE: ________________________ E-MAIL: ____________________________ Please check one: I have enclosed a check made out to Equine Advocates ____ I prefer to charge my donation on a credit card: VISA ____ or MASTERCARD ____ CARD NUMBER: ___________________________________________ EXPIRATION DATE: ________________________________________ CARD HOLDER’S SIGNATURE: _____________________________________ Please make your check payable to: Equine Advocates ALL CONTRIBUTIONS ARE TAX DEDUCTIBLE AS ALLOWED BY LAW Please print this form and mail it to: EQUINE ADVOCATES P.O. BOX 354 CHATHAM, NY 12037-0354 Thank you so much!