PLEASE TYPE YOUR ANSWERS IN, THEN PRINT.
As a 501(c)(3) rescue organization, your contribution to E.P.O.N.A. is fully tax-deductible.
YOUR FULL NAME:
YOUR STREET ADDRESS AND/OR PO BOX:
YOUR CITY, STATE, AND ZIP CODE:
YOUR HOME TELEPHONE NUMBER:
YOUR HOME E-MAIL ADDRESS:
YOUR WORK TELEPHONE NUMBER:
YOUR WORK E-MAIL ADDRESS:
YOUR FAX NUMBER:
YOUR CONTRIBUTION AMOUNT: $.00
On behalf of all the horses at E.P.O.N.A., thank you!
Please print this form, then send along with your check or money order to:
PO Box 315