Name:____________________________________________________________________

Address:__________________________________________________________________

City/State/Zip:____________________________________________________________

Phone:( _______ ) _____________________

Enclosed is my/our gift to California Coastal Horse Rescue in the amount of $_________

Please apply my donation to :

___ General Fund (Feed, Supplements, Shelter, Supplies)

___ Medical Emergencies

___ Where most needed

This contribution is a Memorial Gift Honoring:___________________________________

This contribution is a Tribute Gift in honor of:____________________

On the occasion of__________________________________________

Please send an acknowledgment card to:______________________________________

I/We wish to make a pledge of $_________ in equal payments, 
for ______ months. Please send gift envelops.

Please Call me to discuss my gift through my will of estate plan:(_______)_________________________

Credit Card Option: Visa/MasterCard#:_________________________________________

Exp. Date:___________ Signature:____________________________________________

Please return completed card with your gift to:
California Coastal Horse Rescue
P.O. Box 1646
Oak View, California 93022

If your have any questions or need additional information, 
please call CCHR at (805) 649-1090.

Thank You For Caring.

California Coastal Horse Rescue is a Non-Profit Organization
Federal Tax ID #91-2170457