State and Chapter Donation/Store Purchase Payment Form

BCHW State, BCHA National and Chapter Donation/Store Purchase/Calendar Payment Form

* Required
Your Name*

Last NameFirst Name
Your E-mail
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Make your selection/selections and enter the dollar amount (no decimal) for each item you want to pay or donate to.

You can donate to the state, specific fund or chapters.

To pay for a Store purchase select item #5

"Store Purchase"
*
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Donation to the Pasayten Wilderness Project$1
Part of the Pacific Northwest National Scenic Trail

Amount

Donation to BCHW General Fund$1

Amount

Donation to Back Country Horsemen of America $1

Amount

Donation to the Sawyer Program$1

Amount

Calendar Purchase$13

Quantity

Store Purchase$1

Amount

Buckhorn Range$1

Amount

Capitol Riders $1

Amount

Cascade Horse Club$1

Amount

Crab Creek Riders$1

Amount

Ellensburg Valley $1

Amount
Item subtotal:$0.00

Ferry County$1

Amount

Grays Harbor$1

Amount

Island County$1

Amount

Lewis County$1

Amount

Methow Valley$1

Amount

Mt Adams$1

Amount

Mt Olympus $1

Amount

Mt St Helens$1

Amount

Nisqually$1

Amount

Northeast$1

Amount

Oakland Bay$1

Amount

Okanogan Valley$1

Amount

Olympic$1

Amount

Peninsula $1

Amount

Pierce County$1

Amount

Ponderosa $1

Amount

Purple Sage Riders$1

Amount

Rattlesnake Ridge$1

Amount

Scatter Creek Riders$1

Amount

Skagit$1

Amount

Tahoma$1

Amount

Trail Dusters $1

Amount

Wenas Valley$1

Amount

Wenatchee Valley $1

Amount

Whatcom County$1

Amount

Total $0.00
Is this a donation in memory of someone who has passed away?*

YesNo
If you answered yes to the above question please give us a name or type none!*
Comments that you want the State or Chapter to know
Back Country Horsemen of Washington (BCHW) is a public charity as defined in Internal Revenue Code Section 501(c) (3). Accordingly, membership dues paid to BCHW may be treated as deductions characterized as “charitable contributions” when computing federal and state income tax obligations. Tax ID# 26-1581347

You should automatically receive a copy of this submission and a receipt showing proof of payment. Keep both documents for tax purposes.
ATTENTION!!

When you click on the "GO TO PAYMENT PAGE" below you will be taken to PayPal. Go down to "Pay with Debit or Credit Card" and click. You will be taken to the page to enter your payment information!!

A PayPal account is not required!
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BCHW State, BCHA National and Chapter Donation/Store Purchase/Calendar Payment Form