High Hopes, Therapeutic Riding, Old Lyme, Connecticut

High Hopes Hoedown

Yes, I will be attending and will purchase the following tickets:

I/We are unable to attend the Hoedown, but would like to give a tax-deductible donation of:

Name(s) as you wish to be listed in the Program:

Tickets are non-refundable. The IRS allows the amount of each ticket that exceeds

fair market value to be tax-deductible. Estimated fair market value is $15.

Contact Information:

Title (Mr.Mrs.Miss):

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Credit Card Information:

Please type the cardholder name as it appears on the credit card.

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