Special Event Patch Order Form Patch orders are due at least 2 weeks prior to event. Quantity
Official BSA Patches Total
Price
Quantity
Price
Total
Scouting for Food
@ $1.29 = 0
Blue and Gold
@ $1.29 = 0
Pinewood Derby
@ $1.29 = 0
Rain Gutter Regatta
@ $1.29 = 0
Scout Sunday
@ $1.29 = 0
Space Derby
@ $1.29 = 0
Blastcar
@ $1.29 = 0
Journey To Excellence (JTE)
@
$1.59
=
0
Circle 1 out of each category if you are purchasing Journey To Excellence 100% Boys Life? Y N What Level is your unit? Bronze Silver Gold If you do not fill out both bolded options, your JTE order will not be placed
Total = 0
Does not include Shipping, if applicable
All patches are Non-returnable. Contact Information Name: Pack/Troop: Phone: Email: Date Needed:
/
Would you like this order mailed to you?
/
Y
N
$5.00 additional charge
Mailing Address:
Special Shipping Instructions Overnight and all shipping is available for special circumstances, the charge is $30. If you have any questions, please email
[email protected] Please submit orders by either in person or by email.
[email protected] Northeast Illinois Council 2745 Skokie Valley Road Highland Park, IL 60035 fax: 847-433-2036
Updated 4/4/13
