H.H.E.R.O
12193 Providence Rd
Shreveport, Louisiana 71129
EMAIL
Sponsorships/Donations/Memberships:
To mail payment-
Print this page, fill out form, attach payment and send to above address.
Please make payment payable to HHERO and
specify whether payment is for donation, sponsorship or
membership. If you are sponsoring a specific horse, please indicate the
horse
you wish to sponsor. Otherwise, donations will be used for the benefit of all
our horses in general.
To pay with credit card
use our paypal
account-
DONATION FORM
Your Contact Information
Date:________________
First Name:
Last Name:
Mailing Address:
City:
State:
Zipcode:
Area code / Phone Number:
Other Information
Would you like to recieve our Quarterly Newsletter?
YES or NO
Select payment option:
Donation enclosed: $___________ Use it where it is needed! No amount too small or too large!
Sponsorship enclosed:
Would you like us to send you a monthly statement? YES or NO
Horses Name ________________
Check One:
Monthly (15.00) $__________
Yearly(180.00) $__________
Other $__________
Membership: Annual membership
New_____ Renewal _____
Individual $15.00 _____
Family $25.00 _____
Sr. Citizen $5.00 _____
Corporate $50.00 _____
In loving memory of:
_______________________________________________________________.
Please circle one: Check
Money Order
Check/M.O Number:_____________
We would like to show our appreciation to you and the person or pet you named in "loving memory of" (if any), by placing your name's on our website and in our Quarterly Newsletter.
By signing here:________________________________ you are giving your consent to use your name in our website and Quarterly Newsletter. Note: your amount, address, phone etc.. will not be disclosed.
Reminder! If paying by credit card, click on the paypal button above. If paying with check/Money order please print and include this page (right click in this frame then click on print)with your payment and mail to address above. We appreciate your kindness. May god bless you!
-H.H.E.R.O.