Opening Gates
Equine Assisted Counseling and Learning
5006 Charlestown Pike, Jeffersonville, Indiana
502-523-3360
openinggates@yahoo.com

Yes, I want to be a Paddock Partner and help change lives of those in need one donation at a time. 

Name: __________________________________________________________________

                Mr/Mrs/Ms/Dr            First Name                   Last Name                   or Company Name

Address:____________________________________City:_________________________

State:____________Zip Code:___________Email:_______________________________

Gift Information (check one on each line)

I would like to make a tax-deductible donation(s) of: _$25  _$50  _$100  _Other Amount $_____

Contribution Type: _One Time     _Monthly    _Quarterly      _Annually

Payment Options

_My one time contribution check to Opening Gates, Inc. is enclosed

_My monthly contribution check to Opening Gates, Inc. is enclosed

          Would you like a monthly email reminder:     _Yes      _No

Please complete this form and return it (with check) to:

Opening Gates, Inc. 5006 Charlestown Pike, Jeffersonville, IN  47130

*If 100 people give $10 per month, we will reach our goal of $12,000 in 12 months.

*If 100 people give $20 per month, we will reach our goal of $12,000 in 6 months.

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