POTAWATOMI AREA COUNCIL
BOY SCOUTS OF AMERICA
WAUKESHA, WISCONSIN

OA 2008 ANNUAL MEMBERSHIP

REGISTRATION FORM
(Payment will be entered on next form after you click on "Submit" button below)
Name: Address: City: State: Zip:
Unit: If not with a unit, enter C for council or D for district in unit box AND fill in your district
Date Of Birth :
Phone:
Youth
Ordeal Date: Brotherhood Date Vigil Date
Vigil Name: Interpretation:
Dues: For information on Sustaining Membership, Click Here
Click button to submit entry and pay via a credit card:      HOME
 

 

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Last Updated February 1, 2008