Project Valour-IT

In memory of SFC William V. Ziegenfuss

It was the first time I felt whole since I’d woken up wounded in Landstuhl.
–Major Charles "Chuck" Ziegenfuss, on using a voice-controlled laptop



 
Soldiers' Laptop or GPS Request Form For Severely Wounded
(VA or Military Medical Facilities may also use this form to request Wii systems)

Dear Hero,

Thank you for your service to our country. Please know how much your bravery, courage and sacrifices are supported and appreciated.

Project Valour-IT, in memory of SFC William V. Ziegenfuss, provides voice-controlled computers to severely-wounded Soldiers, Sailors, Airmen and Marines, especially those recovering from hand and arm injuries at major military medical centers. The program also includes wounded personnel suffering from burns, paralysis, loss of sight, and amputation of upper and lower limbs.

The delivery of laptops to severely wounded soldiers through this program is completely dependent upon donation totals.

Step 1
Provide basic information so Soldiers Angels can verify and contact you if need be.
Rank*
First Name*
Last Name*
Phone Number*
Branch of Service*
 
If you are currently a patient in a medical facility, please provide that information.
Medical Facility Name *
Address:
City:
State:
Zip:
 
Step 2
Your Case Worker's Name * (we will verify your information with your caseworker):
Your Case Worker's Phone Number *:
Your Case Worker's Email Address (REQUIRED):
Please provide a detailed summary of injuries.
Date of Injury*
Summary of Injuries*
Email*
This form submitted by:*
 


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