Name and address of applicant . (This must be the Unit Leader) |
Full
first Names and Surname:
Home Address Line1 : Line2 : Line3 : |
Telephones (give dialling codes) | Home:
Work:
Mobile: |
Region : Position : | |
I confirm that I have attended a
Welcome to Scouting briefing
in
on , . Signed : ______________________ |
|
Number of Packs Required | Cheque/bank draft/postal order Enclosed for Packs at €5.50 /STG£4.00 per Pack |
Name and address of consignee
if different to above: |
Full
first Names and Surname:
Home Address Line1 : Line2 : Line3 : |
National Headquarters / National Training Team
Use Only
|
|
Date received at NHQ: | Date required by: |
Remittance received €/STG£
Allocation: J4 Received by: . |
Method of dispatch:
Post |
Request handled by: | Date Packs sent: |