Donate to the AHHSF

 Donor Name: ___________________________________________________

 Address: ________________________________________________

                 ________________________________________________

 State: ________________ Zip code: ________________

 Phone Number:__________________________________________

 Email Address:__________________________________________

 Amount: _____________

 To Be Donated In Memory Of: _________________________________________

 To Be Used For: _____________________________________________________

 Apply To Scholarship:

 AHHS Foundation_____, Al Haugen_____, Ed Frickey ____

 Please note all donations to the American Hackney Horse Foundation, Inc. are tax decuctable under the IRS 501c3 regulations.