PLEDGE SHEET - Print and Sign Below
| Name__________________________ | Horse Name____________________ |
| Address_______________________ | Town_____________Zip__________ |
Circle One - Junior (17 and under) Adult (18 and over)
Make checks payable to RISPCA
| Name | Address | Donation Amount |
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| 20 |
| Total Pledge Money | |
| Entry Fee | $20.00 |
| Grand Total |