Pack number: ________ town Pack is located in: ___________________________
Pack’s chartered organization: __________________________________________
Contact person:
name: ___________________________________________________________
address: __________________________________________________________
__________________________________________________________
email address: _____________________________________________________
daytime telephone number with area
code: ( )
______________________
evening telephone number with area
code: (
) ______________________
cellular or pager telephone number
with area code: (
) _______________
Number of sleds:
_________
Number of Webelos: _________ X $6 =
$ ___________
Number of adults: _________
X $6 = $ ___________
Total enclosed:
$ ___________
Make checks payable to “Westchester-Putnam Council, BSA“.
“Webelos Klondike #105”
MUST be written on all checks.
Your check number:
___________
Mail this completed form with full payment before February
13, 2002 to:
Manitoga District Webelos Klondike 2002
Westchester-Putnam Council, BSA
41 Saw Mill River Road
Hawthorne, NY 10532
Westchester-Putnam Council, BSA www.wpcbsa.org (914) 773-1135