NEIC Registration Materials Order Form
Use this form to request your Registration Event materials. Please fill out and submit this Order Form at least 2 weeks prior to your recruitment event.
Your Name: *
Your answer
District *
Unit Type: *
Unit #: *
Your answer
When do you need your materials by? *
MM
/
DD
/
YYYY
Date of Registration Event: *
MM
/
DD
/
YYYY
Name Location: *This location will be Geofenced *
Your answer
Street Address *
Your answer
Start Time: *
Time
:
End Time: *
Time
:
Leader's name to be used on materials: *
Your answer
Email to be used on materials: *
Your answer
Phone Number to be used on materials:
Your answer
Pack Website (if applicable):
Your answer
Pack Dues (total charged to a new Scout at Registration Event): *
Your answer
School(s) where flyers, materials will be distributed: *
Your answer
Would you like us to distribute flyers on your behalf? *
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