Horse Products
Founder & Owner, Dr. K. K. Logue, Veterinarian
Name: ______________________________ Organization: _________________________
Phone Number: ______________________________ Organization Number: __________________
Address for Shipping
Street Address: _____________________________________________________________________
City: ________________________________________________________________________
State: ___________________________ Zip Code: _______________
E-Mail Address: ____________________________________________________________________
Credit Card: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Exp. Date: __ __ - __ __
Signature: ___________________________________________ Check # __________________
Up to 50% of product profit will go directly to your favorite fundraising organization.
Supporters and Consumers Horse Products Order Form Call (800) 859-5170 or Fax to (574) 234-2047
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Worthy Cause Fundraising Pet Products, Ltd. 850 Marietta Street, P.O. Box 4400 South Bend, IN 46634 (800) 859-5170 Fax (574) 234-2047 www.WorthyCauseFundraising.com
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Choose from the following Horse and Pony fundraising pet treats:
Enter your organization name and number to ensure proper credit
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QTY Horses and Ponies ~ All Sizes
____ #6010 juicy apple treats (approx 80)
____ #6020 peppermint pattie treats (approx 80)
____ #6030 horse first aid kit
(Print and fill out this form
if you prefer to order using
the phone or fax instead of
ordering online)