The Buck Stops Here Donor Registration Form

THE BUCK STOPS HERE!

DONOR REGISTRATION FORM
Thank you for your participation in The Buck Stops Here! Please use this form to register with The Buck Stops Here! as a donor to enable us to provide you timely support. Questions? E-mail us at Hackney Bucks@gmail.com.
Name*

First NameLast Name
Pony/Horse/Business Name
Address*

Mailing Address

Mailing Address Line 2

CityState

Zip CodeCountry
Phone (best number to reach you)*

Area CodePhone Number
E-mail Address*
I would like to make a tax deductible donation to The Buck Stops Here! in the amount of:
Donation Amount:*

prevnext( X )
USDExample: 100.00
Date Form Submitted*

MonthDayYear
Date
HACKNEY BUCK INFORMATION

Thank you for helping to continue to grow the Hackney industry by making this generous donation. For every $50 you have donated, One (1) Hackney Buck will be generated on your behalf. For example, a $1,000 donation will generate 20 Hackney Bucks that will be distributed throughout the industry and spent like cash with approved The Buck Stops Here! Program vendors. This is one more way to advertise your pony, horse or business. Please compelte the form below, and up to Three (3) designs will be created and evenly distributed on Hackney Bucks to represent your donation.
Hackney Buck Design:
Pony/Horse/Business Name:*
Owner/Other Name:*
Upload Image for Your Hackney Buck(s)

Upload a File

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*The donor completing this form is responsible for ensuring that all Pony/Horse/Business Owner/Other names and image(s) on the Hackney Buck are approved and correct. The donor is also responsible for obtaining permission to use images for the photographer/artist.
2018 The Buck Stops Here - Online Donor Registration Form
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THE BUCK STOPS HERE!