First Name:  

Last Name:  

Mailing Address:  

City, State, Zip:  

Email Address:  

Phone Number:  

□ Enclosed is my check (payable to AdoptaPlatoon) for:   $_____________

□ Please charge my credit card in the amount of:   $_____________

Credit Card #:  

Expiration Date: _______ / _______

Mail this completed form, along with your check or money order (if applicable) to:

AdoptaPlatoon
National Communications Center
P.O. Box 1846
Merrifield, VA 22116-8046

AdoptaPlatoon a 501(c)(3) charitable organization.
Gifts are deductible as charitable contributions for Federal income tax purposes.