 |  | Program | |||
| $25.00 Feeds a horse for a week | |||||
| 1. Click the Print Button to print the form | |
2. Fill out the form below and mail to: | South Florida S.P.C.A. 15476 NW 77 Court # 440 Miami Lakes, Florida 33016 |
| 3. Or fax form to 305-279-0090 |
| | Program | |||
| $25.00 Feeds a horse for a week | |||||
| 1. Click the Print Button to print the form | |
2. Fill out the form below and mail to: | South Florida S.P.C.A. 15476 NW 77 Court # 440 Miami Lakes, Florida 33016 |
| 3. Or fax form to 305-279-0090 |
| Name of Horse _____________________ (optional) |
| Your Name ______________________________ Phone# ______________________________ Address ____________________________________________ City____________________________ State ___________ Zip__________ Email address _______________________________ |
| Please select one of the following plans: |
| ______ I would like to feed a horse for _____ week(s). ($25.00 X number of weeks) |
| ______ I would like to feed a horse for _____ month(s) . ($100.00 X number of months) |
| ______ I would like to feed a horse for one year. ($1300.00) |
| Total Amount $ ____________ |
| _____ Charge my credit card for the entire amount now |
| _____ Charge my credit card monthly. A total of ____ monthly payments min 25.00 per month |
| If paying by Check: |
| _____ I have enclosed the entire amount |
| _____ I will send a monthly check (minimum 1 bag/bale - $25.00 per month) |
| PAYMENT METHOD: |
| 1. Check or Money Order: Amount Enclosed: $_____________ (Please make check or money orders out to South Florida S.P.C.A.) |
| 2. Credit Card: ___MasterCard ___VISA |
| Card Number: ____________________ Expiration Date: Month _____ Year _____ |
| Signature: _____________________________________________ |
Please make sure that you enter your name exactly as it appears on your credit card. |