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Accredited Member of the
North American Riding
for the Handicapped Association

Membership Form

As we gear up for a new season, have you considered the status of your membership? Please renew your membership today.   THANK YOU! Your support is appreciated! (All donations are tax deductible.)

WE NEED YOU!
HELP US LIFT UP ALL DESERVING KIDS AND ADULTS
Pink Ribbon $5 to $49

White Ribbon $50 to $99

Yellow Ribbon $100 to $199

Red Ribbon $200 to $499

Blue Ribbon $500 and up

Please make your donation payable to "LIFT ME UP!".
All memberships are tax deductible.

Name:
Address:
City: State: Zip Code:
Level:
Amount Donated:

If you would prefer to mail in your form, send it to:
   LIFT ME UP!  
   P.O. Box 104
   Great Falls, VA 22066

Please make checks payable to LIFT ME UP.


Lift Me Up!
PO Box 104
Great Falls, Virginia 22066
Phone: 703-759-6221
Email: info@liftmeup.org