1. Paste and copy this form onto your computer
2. Fill it out
3. Send it back by e-mail
or by mail to Miller's, PO Box 14254, SLO CA, 93406

Horse and Donor Information

 Fill this form out if you have a horse you would like to donate and send it by e-mail with photos of your horses.  We will contact you after we receive this information.

 

Horse name:                       Date contacted: ­

Owner:                                                                                          

Phone #                                   Email:                                           

Address:_                                                                                      

 

Horse description:

 

 

Capabilities:

 

 

History:

 

 

Reason for Donation:

 

 

Medical Info.:

 

 

Child Safe:

 

Other:

 

 

 

Donation Application Sent:_______Recieved:_________

 

Must donate by: