Please print out, fill in, and mail the form below to:
Carolina Horse Park Foundation
P. O. Box 2468
Southern Pines, NC 28388

My/Our tax deductible gift/pledge of $___________ will be forwarded on the date(s) shown below.

Name:_____________________________________________________

Street:_____________________________________________________

City:_______________________________    State:________________

ZIP:____________________                    Phone:__________________

Email Address:___________________________

Date the pledge will be sent:____________________________

Thank You!

*The Carolina Horse Park Foundation is a nonprofit North Carolina 501(c)3 Corporation recognized by
 the IRS as a public charity. The purpose of the Foundation is twofold: the preservation of open
lands, and the promotion of National and International equestrian competitive sports.
Two hundred and fifty acres have been acquired with these objectives in mind.