Donation Order Form
Make check payable to Pony Express Riders of Iowa and mail this form to:
 Pony Express Riders of Iowa
 Attention: Carole Bailey
PO Box 1704, Des Moines, IA  50305

Anyone wishing to make a donation to Pony Express Riders of Iowa, Inc. with the proceeds going to Camp Sunnyside may do so by filling out the following form or you may contact Carole Bailey at Camp Sunnyside for more information 515-309-9779.

    
Yes, I would like to make a donation to Pony Express Riders of Iowa
  
Name: _________________________________________________

Street Address: __________________________________________

City: ___________________________________________________

State ______ ZIP _______ Phone __________________________

E-mail: ___________________________________________________

RETURN