American Legion Auxiliary Girls State Reservation Form 2017
Date
Todays date
MM
/
DD
/
YYYY
District
American Legion Auxiliary Unit Number
Your answer
American Legion Auxiliary Town/City
Your answer
American Legion Auxiliary Girls State Chairman Name
Your answer
American Legion Auxiliary Girls State Chairman Address
Your answer
American Legion Auxiliary Girls State Chairman City
Your answer
American Legion Auxiliary Girls State Chairman State
Your answer
American Legion Auxiliary Girls State Chairman Zip
Your answer
American Legion Auxiliary Girls State Chairman Phone Number
Your answer
American Legion Auxiliary Girls State Chairman Cell Phone Number
Your answer
American Legion Auxiliary Girls State Chairman (or a Unit members) email address.
Your answer
Request reservations for
The number of girls you will be sending to Girls State
Total submission (Cost) $400.00 per reservation.
Is this registration and additional registration?
Submit
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