Please Print the Following Form and mail in with your Donation

 Reunion Trooper and KIA Survivor Assistance Fund Donation

The purpose of the Reunion Trooper and KIA Survivor Assistance Fund is to assist troopers who served with the 11th Armored Cavalry Regiment in Vietnam and the Kingdom of Cambodia and survivors of our Troopers Killed in Action in Vietnam and Cambodia, attend a reunion sponsored by the 11th Armored Cavalry’s Veterans of Vietnam and Cambodia.  Qualified candidates will be given one and perhaps more than one of the following items, depending on the number of requests, funds depletion, and the degree of assistance required: 1) a room at the host hotel for one or two nights during the reunion weekend; 2) funds to purchase fuel for auto, tickets for airfare or other means of transportation such as bus fare or train fare; 3) registration fees; 4) meals.


If you would like to contribute to this fund to assist troopers of 11 ACVVC, please complete the information below.  All contributions are tax deductible.


Name:       ____________________________________________________

Address:  ____________________________________________________

City, State____________________________________________________

Zip Code ____________________________________________________

Amount of Donation:  $ __________________

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

Mail To:

    • 11th ACVVC
      C/O Ollie Pickral
      571 Ditchley Road
      Kilmarnock, VA 22482