Medicine Horse Center Printable donation form                  PRINT

Contribution (Circle One)

$25     $50     $100

$250     $500     Other $_________

Corporate Contribution

Silver $1000 +

Gold $5000+

Platinum $10,000 +

Sponsorship

Therapeutic Riding $140 (4 lessons)

Equine Assisted Psychotherapy $260 (4 sessions)

Horse - $1,200 (one year)

 

Name
Institution (If applicable)
Address
Address
City                                                State/Province                                            Zip
Phone


Mail completed form to:
The Medicine Horse Center
P.O. Box 1074
Mancos, CO 81328

For in-kind donations, please call: Lynne Howarth, 970-749-1266.

Thanks to community support and generosity,
no student will be turned away because of inability to pay!