BACK COUNTRY HORSEMEN OF IDAHO FOUNDATION
PO Box 498, Newport, WA 99156
RECEIPT FOR DONATION
Business/Donor:__________________________________________________________________
Contact Name:___________________________________________________________________
Phone No:______________________________E-mail:___________________________________
Address:________________________________________________________________________
City:_____________________________State:________________________Zip:______________
Chapter Name:___________________________________________________________________
Chapter Member Contact:__________________________________________________________
To be used for:
___________Education
___________Work Projects
___________Convention
Other:__________________________________________________________________________
Quantity Description of Item Fair Market Value
Total Amount _________________
Less Goods, Payment and/or Services Provided _________________
Donation Amount _________________
Thank you for your support of The Back Country Horsemen of Idaho Foundation, 501(c)3 public, charitable, non-profit organization. We appreciate your donation. Please retain this receipt as proof of your gift for federal income tax purposes. Your gift is deductible as a charitable contribution to the extent that it exceeds the value of goods and/or services you received in exchange for your gift.
82-0510506
Signature BCHIF Representative Foundation Exempt Number Date of Receipt