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Saklan Lodge
Order of the Arrow
Annual Dues 2019
Registration Information
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Zip
*
Phone
*
Email Address (If none, type None@none.com)
*
Month and Year of Birth
*
Gender:
*
Male
Female
Unit Type:
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Pack
Troop
Team
Crew
District
Council
Unit Number:
*
Current Honor:
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Ordeal
Brotherhood
Vigil
Chapter/District:
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Hattape/Pionner
Lowaneu Allanque/Polaris
Sit Caw Yu /Loma Prieta
The Q/ San Benito
Tinduechen/Coyote Creek
Woakus/Quicksilver
Yakiski Shanax /Santa Lucia
Council
Ordeal Date:
Ordeal Council:
Brotherhood Date:
Brotherhood Council:
Vigil Date:
Vigil Council:
Vigil Name:
Vigil Meaning:
I am interested in the following committees:
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Camping Promotion/Unit Visitation
Conclave Participation
Event Staff/Support
Elangomat-Nimat Participation
Ceremonies
Indian Dance
Publications
Brotherhood Attainment
Leadership/Administration
Trading Post
OA Unit Representation
Web site
Training
Scout-O-Rama Staff
Other
Other
Lodge Annual Dues ($20)
*
2019 Dues
Convenience Fee for online credit card use - VISA/MasterCard:
2.00%
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