Yes, I would like to supprt T.E.A.D. - Equestrian Association for the Disabled

Please enclose this form with your tax deductible contribution

Please accept my gift of: ___________
Please direct my gift to: ___________________________________________
Name:	________________________________________________________
Address:	_______________________________________________________
City: _________________________________________Prov________________
Postal Code:_______________ Phone:__________________
Visa card number: ____________________________________ Expires:________
Signature:____________________________________________

Make cheques / money orders payable to T.E.A.D and mail to:

8360 Leeming Road RR #3

Mount Hope , Ontario

L0R 1W0

Phone #: (905) 679-8323

Fax #: (905) 679-1705

email: info@tead.on.ca

website: www.tead.on.ca

Please send me more information on:

Riding Classes _____

Volunteering _____

Fundraising Events _____

Charitable Registration # 88987 4970 RR0001