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Donation Form
Title:	Dr. Fr. Mr. Mrs. Ms. Rev.
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Amount of Donation* (Format for "other" amount does not include dollar signs, commas, or decimal point.)	$85.00 Give a Scholarship Ride in the name of someone special $100.00 Supporter Listing in Journal $250.00 Scholarship ride for school group $500.00 Adopt a Therapy Horse-Full year $1000.00 Half Page Ad in Journal $2500.00 Blue Ribbon Therapy Horse Auction Basket Sponsor-11 needed $3500.00 Bronze Medal Goody Bag Sponsor $4000.00 Silver Medal Silent Auction Sponsor $5000.00 Gold Medal Live Auction Sponsor $10000.00 Grand Prix Cocktail Reception Sponsor $15000.00 Gold Circle Gala Event Sponsor Other
I would like this donation to be used for	-- Any Available Progams -- Scholarship Ride Scholarship Ride-School Program Scholarship-Vermont Healing Retreat-Equine Assiste Covered Arena Construction Give a Life Changing Gift in the name of someone s Adopt a Therapy Horse
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Designation (optional)	To designate your donation for a specific purpose, please enter a description of how you'd like your donation to be used.
Dedication (optional)	To make a donation in memory of another person, please enter the person's name To make a donation in honor of another person, please enter the person's name
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