Donate to The Scholarship Fund = Amount___________________

 Donate to  The General Fund = Amount______________________

 Donate to The Trooper Assistance Fund_____________________

 Optional Information :

 Name: __________________ Telephone No:  ________________

 Address: _____________________________                                               

 City/State/Zip: _________________ email address: __________

Unit Assignment: (list only one Troop/Company) ______________

Send Check or Money order (no cash please) , payable to:

11th ACVVC
Mail To:  C/O

• Ollie Pickral
  571 Ditchley Road
  Kilmarnock, VA 22482