HSBA Donation Form

Hot Springs Bicycle Association

Instructions:   Mail this completed form and your TAX DEDUCTIBLE contribution to:

H.S.B.A.
719-B Whittington Ave.
Hot Springs, Arkansas 71901

I need a receipt please:  

 

$50$100  $200 $300 $500 Other

 

 Sponsor's Name:

Company Name:

 

Address: City: State: Zip:                   

 

Phone No.                          Email:

 

 

 

Please apply my donation to the following:

Trail Maintenance  Race Event  Helmets for Kids  Club Discretion

HSBA will be happy to include your company logo on all event publications and add a link and graphic from our website to yours.  Please include a copy of your company logo and your web address.

Signature:___________________________________________      Date:__________________