Name :________________________________________________
Address :________________________________________________
:________________________________________________
We (I) wish to donate $_______ to assist a child or adult rider
participate in the Comox Valley Therapeutic Riding Society Program.
10 Weeks (FALL) ____ $120. 10 Weeks (SPRING) ___ $120.
8 Weeks (WINTER) ____ $96. ONE YEAR ___ $336.
Other amount $____ We (I) wish to receive a tax deductible receipt ____
COMOX VALLEY THERAPEUTIC RIDING SOCIETY
Box 3666, Courtenay, B.C. V9N 7P1 Canada
Phone: (250) 338-1968 Fax: (250) 338- 4137