Donation Form

Thank you for purchasing a gift certificate to support one of our riders. Please choose an amount, and specify a rider. Thank you for your support.

Purchase Information

Amount

$100

Please list the name of the rider(s) for the gift certificate

Donor Contact Information

First Name

Last Name

Company Name (if donating as an organization)

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your purchase is available for our mission.

Yes! I want $0.00 to go to Ivy Hill Therapeutic Equestrian Center and my purchase price will be $0.00.No. My purchase price is $0.00 and Ivy Hill Therapeutic Equestrian Center will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

IVY HILL THERAPEUTIC EQUESTRIAN CENTER | 1811 Mill Road, Perkasie, PA 18944 | 215.822.2515 | IvyHillEquestrian.org

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.