Name: ____________________________________

Address: __________________________________

City: ________________________ State: ________

Zip: ________________

Phone: ________________

Email: ____________________________________

A $35.00 minimum donation per rider includes a catered dinner, one ticket for our door prize drawing, and the opportunity to help a great cause while doing something you love.  To participate in the Dinner and Auction Only the Fee is $15.00.  Live and Silent Auction items will also be available during dinner.   Lucky Bucky T-Shirts for this event will also be for sale throughout the day and at dinner.

New: FAMILY PRICING SPECIAL: $35.00 each for first two members, $10 a piece for each additional member.  (Family of 5 would pay $100)  Must be living in the same household to qualify.

Please collect your tax-deductible contributions and turn them in with this form at the trail ride registration booth when you check in.  If you are unable to attend the trail ride, please mail your contributions and this form to:  Roy Frey Western 121 NE Hwy 24, Topeka, Kansas 66608.  Please make checks payable to the Wright Flight of Missouri. If you have questions please call

Dewayne Burgess at 785-232-0579 or Bob and Brandi Lewis at 785-256-4404 .You can also

email trailhorses@hotmail.com  (attention Wright Flight Trail Ride).

Donor’s Name          Amount Collected

1. _____________________________________

2. _____________________________________

3. _____________________________________

4. _____________________________________

5. _____________________________________

6. _____________________________________

7. _____________________________________

8. _____________________________________

9. _____________________________________

10. ____________________________________