“Shop With a Cop”-
Donation Form
HELP US TO HELP OTHERS WHO ARE LESSFORTUNATE Return form and Donations
to:
Blackstone Police Department
101 W. Elm Street
Blackstone
VA, 23824
Name___________________________________________________________________
Address_________________________________________________________________
City____________________________________________________________________
State_____________________________________ Zip Code_________
Phone #: _____________________________________
Amount Enclosed $_____________________________
Checks should be made payable to Blackstone Police Department, with “Shop With A Cop” on memo line.
Please do not send cash.
THANK
YOU FOR YOUR CONTRIBUTION AND SUPPORT!!!!!!
Donations from
2011
Southside Youth Festival
Deborah & Dennis Dzendzel
Watkins Jewelers
Circle Sales, Inc.
Butch's Wrecker Service
Park Oil Co., Inc.
Ann Ruth
& Glenn Jackson
Butterwood United
Methodist Women
Rick's Auto Service
Michael Reynolds & Lisa York
R.W. & Marilyn McDaniel
James & Susan Jordan
Lowry McDaniel
Blackstone Ruitan Club
Saint Luke's Church School
Zeleaker Bennett
N & L Social Club
Teefey & Teefey, P.C.