Sponsor SARI – SARI Therapeutic Riding

Donation Amount $ *

Total Amount

On Behalf Of Organization

Organization Name *

Phone (Main) *

Email (Main) *

Name and Address

First Name *

Last Name *

Email *

Street Address *

City *

Postal Code *

Country

Province *

Authorize.net (Credit Card)

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

First Name * *

Billing Middle Name

Last Name * *

Street Address *

City *

Country *

State/Province *

Postal Code *

Note that tax receipts will not be automatically generated but will be issued by email as soon as possible.