Memory Donation form - Beech Brook Farm Equine Rescue

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Beech Brook Farm Equine Rescue
77 Ocean View Ave, Mystic CT 06355
beechbrookfarm.homestead.com
Memory/Honor Donation
You can make a donation to Beech Brook Farm in memory of a
deceased or in honor/recognition of a person. This is a great
way to donate to the rescue while recognizing a loved one or
friend. Fill out the form below. We will send an
acknowledgement card indicating that a donation was made by
you in memory of or in honor/recognition of the noted person’s
name. As a 501c3 all donations are tax deductible. Your
donations help us care for rescued horses as well as provide
equine related programs for at risk and disadvantaged youth.
Fill out and return to Beech Brook Farm, 77 Ocean View Ave,
Mystic CT 0635
Cut here and return lower portion
Your Name:_____________________________________________
Your Address:___________________________________________
Your phone:____________________________________________
Persons name you are donating in memory or honor or
recognition) of:
_____________________________________________________
_____memory ______ honor _____recognition (Check one)
Name and Address to which acknowledgement should be sent:
_______________________________________________________
Any special message you want written:
_______________________________________________________
_______________________________________________________
_______________________________________________________
860-705-8456
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