Please complete the following form to register for the 2012 Pocumtuc Lodge OA Banquet on April 22, 2012. 
You can pay at the door, but we need to know if you are going to be there. 
* Your Name:
   Unit and Number:
* E-mail Address:
* Phone Contact:
* How many are you registering for?
* Including Yourself (if you are attending),
   Names of Those Attending:
* Amount Due:
     (Number Attending x $12)
Questions / Comments
*Required
 
   

 

 
 

 
   
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 Western Massachusetts Council, BSA