Please fill out this form to designate your donation to the International Cessna 170 Association.

Fields marked with an asterisk (*) are required.

Please designate which fund(s) you are contributing to. If both funds are selected, the donation will be split equally among the two. If this doesn't work for you, please describe your wishes in the Comments field.

Scholarship Fund
General Fund

Total Contribution Amount: USD *

First Name: *
Last Name: *
Email Address: *
TIC170A Member Number:

This donation is in memory of:


We are a Not-For-Profit 501(c)7 corporation. Please consult with your tax advisor to determine if your donation is tax deductable.