Order Form

“Lanes for the Troops” Order Form

Kit Donation:  $499.00

Contributions made to BVL in excess of the minimum donation ($499.00) will be used to offset costs already incurred to create and ship 200 kits to 40 locations in Iraq and Afghanistanfor general use by service men and women currently on active duty.

Please make checks payable to the BVL

If you would like to absorb the cost of shipment overseas (approx. $40) please check here. _____

Purchaser:

Name:

Organization:

 Street Address:

 

Amount Enclosed:

 

Checks payable to BVL

If you would like to absorb the cost of shipment overseas (approx. $40) please check here. _____

FROM:Contact Name:
 
City, State, ZIP 
Daytime Phone Number:     
TO:

 

Name/Rank:
Unit Name:
FPO/APO Box:
Box City:
Add’l Info.

Please complete this form carefully and mail it, along with a check representing the total amount raised, to BVL

 

 

BVL ♦ 11350 Random Hills Road Suite 800 Fairfax, VA 22030 p. 703.934.6039 f. 703.591.3049

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