Fall 2016 COMMITMENT FORM

Christmas Wreath & Poinsettia Sale

Wreaths ____ Yes ___ No
District:

Poinsettia ___ Yes ____ No

( ) Yahara ( ) Mohawk ( ) Indian Trails ( ) Wisconsin River

Unit Type & Number: ______________________________________________

Contact Person Name___________________________________________

Mailing Address ___________________________________________________

City, ST Zip Code __________________________________________________

Work Phone ___________ Home Phone ___________ Cell Phone ___________

E-mail address _____________________________________________________

Submit by September 2, 2016 to:

Glaciers Edge Council BSA, P.O. Box 14135,
Madison, WI 53708-0135
Email Donna.Machen@Scouting.org
or Fax 608-273-8686