With your help we save horses.
Thanks for your support.

Mail: Please print and mail this completed form to:
New York Horse Rescue
P.O. Box 435
Manorville, NY 11949

Please make checks payable to New York Horse Rescue.

Fax: Please fax completed form to:
New York Horse Rescue
Fax: 631-878-3306

All donations are tax deductible. Thank you!

Name:

Address:

City:

State: Zip:

Christiana Parker Hendrix Memorial Fund
$15 buys carrots for 1 horse for 1 month.
$25 buys hay for 1 horse for 1 month.
$40 buys carrots and hay for 1 horse for 1 month.
$100 sponsors 1 horse for 1 month.
$________ other.

Check Enclosed:

Visa:   Master Card:   American Express:

Card Number: Exp. Date:

Contribution Amount:

Horse:

Comments: