American Patriot Scholarship Program
I would like to support COL Brad Smith, USA as he hikes the Appalachian Trail to raise funds for the American Patriot Scholarship Program.
I would like to contribute $
per mile (5 cents equates to Approx. $120)
or with a gift of:
Select Amount
$50
$100
$250
$500
Other
or $
Name:
Address:
City :
State:
Zipcode:
Email:
Chapter:
Print this page and mail along with your check made payable to the
American Patriot Scholarship Program
.
Enclosed is $
Return this form with your pledge amount or check to the
MOAA Scholarship Fund
Dept. 889
Alexandria, VA 22334-0889
Or call 800-234-6622.
01140
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