YES, I would like to support Equine Justice! * Contribute by mail. Print and complete this form and send to: Equine Justice, Inc., a non-profit corporation 125 Old Grove Road, Suite 9-336 Oceanside, CA 92057 Please select your gift amount: __ $35 __ $50 __ $75 __ $100 __ $250 __ $1000 __ Other $____________ Please enter your contact and payment information: Email: ______________________________________________ First Name: ____________________ Last Name: ____________________________________ Address: _________________________________________________________________________ City: _______________________________ State: ________ Postal Code: ____________ Country: _______________________ I would like to pay by: ___ check (please enclose) AMEX ___ VISA ___ Mastercard ___ Discover Card Number: Expiration Date: Month ________ Year _________ Signature: _________________________________________________ Your contribution is tax-deductible. Should you have any questions, please contact us at (760) 500-3576 or by e-mail to info@equinejustice.org.