Horseshoe Club Registration Form

Name:___________________________________

Address:_________________________________

City:_____________________________________

State:__________  Zip:_____________________

Phone:___________________________________

Email:___________________________________

Desired Level of Care:

Full Care $300 per month

Standard Care $200 per month

Vet Care $150 per month

Feed Care $100 per month

Hoof Care $50 per month

Billing Options:

Please charge my credit card monthly:

Amex      Discover      Visa      Mastercard

Card #___________________________________

Exp. Date____________Security Code_______

I will send a check to R.O.C.K. every month in the amount of $______________

Pay monthly at www.rockride.org under the donate section.

Your entire donation is tax deductable

For more information please call 512-930-7625 or email: horseshoeclub@rockride.org