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 Name Last Name
Business/Organization Name

Address *

Phone (best number to reach you) *

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

USD Example: 100.00
Date *

- Month - Day Year
Date
HACKNEY BUCK INFORMATION

Thank you for taking responsibility to grow the hackney industry by making this generous donation. For every $50 you donate, you will have an advertisement of your choice on One (1) Hackney Buck. For example, a $1,000 donation will generate 20 Hackney Bucks that will be generated throughout the industry and spent like cash. This is one more way to advertise your pony/horse/business, or anything else, within reason, that you would like to advertise! Please compelte the form below and you may have up to Three (3) designs that will be evenly distributed on your Hackney Bucks.
Hackney Buck Design:
Pony/Horse/Business Name: *
Owner/Other Name: *
Upload Image for Your Hackney Buck(s)
*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.
Should be Empty:

THE BUCK STOPS HERE!