B.C. THERAPEUTIC RIDING ASSOCIATION

25768 128th Ave.
Maple Ridge, B.C.
V4R 1C4

Phone: (604) 462-7786
Fax: (604) 462-9597

PRINTABLE MEMBERSHIP and DONATION FORM

I/We wish support providing therapeutic riding for persons with disabilities in B.C.

Please sign me up for an Individual Membership at $10.00 per year.	$10.00
Our therapeutic riding group wishes a membership at $30.00 per year.	$30.00
I wish to make a donation which will provide a valuable contribution to supporting therapeutic riding services within British Columbia.	$_______
YES, please mail me a TAX DEDUCTIBLE RECEIPT. (#0718906-56)	.
YES, please call me to remind me to renew my sponsorship.	.
YES, please send me information on volunteer opportunities with B.C. Therapeutic Riding Association.	.

NAME:_______________________________________________

ADDRESS: ____________________________________________

PHONE/EMAIL/FAX: ___________________________________

THANK YOU
FOR YOUR SUPPORT WHICH MAKES OUR PROGRAM POSSIBLE!