Friday, October 30, 2015 • Hunter’s Run Gun Club 1365 Northwest Drive, Port Allen. LA 70767 DONATION FORM Please PRINT and completely fill out this form so we can give you accurate and proper recognition. Please email this form to info@gaitway.org or mail to P.O. Box 85223, Baton Rouge, LA 70884 Company Name (to appear in print & online): _____________________________________________ Mailing Address: _____________________________________________________________________ Phone Number: ___________________________ Fax Number: _______________________________ Email: ______________________________________________________________________________ Website: ____________________________________________________________________________ Contact Name & Position: _______________________________________________________________ Signature: ___________________________________________________________________________ Item(s) Donated: ______________________________________________________________________ Retail Value: $ ____________________ Wholesale Value: $ ______________________ Description: __________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Gaitway is a 501(c) 3 non-profit organization offering services in Equine Assisted Activities and Therapies to individuals with special needs in Baton Rouge and its surrounding areas. THANK YOU! For Office Use Only: DP_______ Donation Letter___________ Payment received____________ Initials_______