[please print this page and return to ACLA)
American Citizens and Lawmen Association
HC 11, Box 357, Kamiah, Idaho 83536
(208) 935-7852
The Video: THE SHERIFF - The Powers and Responsibilities of Elected Peace Officers
Enclosed please find $__________________ for 1-$20 or 2-$28 videos (please circle quantity.) Cash or blank money order preferred. Checks payable to Dennis Grover OK. VHS ____ DVD ____ (please specify)
My local county is _____________________________________________________ and
my county sheriff* is:
Sheriffs Name ____________________________________________________________
Address __________________________________________________________________
City __________________________ St. _______________ PZ ______________________
My address is: (If you requested a copy for yourself and to share.)
Name ___________________________________________________________________
Address __________________________________________________________________
City __________________________ St. _______________ PZ ______________________
Phone(optional) __________________ Email(optional) ____________________________
*Each county sheriff is being checked off the list of county sheriffs in the U.S. If your sheriff has already received a video from someone else in your county, here are two options. Please check the one you prefer.
Any additional donation is sincerely appreciated and helps move this program on faster.
Enclosed is an additional donation of $ _____________________
Return to
American Citizens and Lawmen Association
HC 11, Box 357
Kamiah, Idaho 83536
Thank You