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Non-Member Registration Submission Form
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Local Exchequers: Please use this form BUT send it to the mailing address for your Kingdom's NMR reports & checks …
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Debra Hense4740 NW 51stStreet
Des Moines, IOWA
50310
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All Exchequers: Due to increasing levels of theft at outdoor mailboxes, you are strongly encouraged to use mailboxes inside of the Postal Facility.
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Kingdom: CalontirDate Due:
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Date:Check Number:
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At GatePre Reg
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Event Date (Sort events by Date)BranchEvent Name# Adult Members# Adult Non Member# Minors 17 & under# Adults Members# Adult Non Member# Minors 17 & underTotal Number of Non MembersNMR $Transfer Check #Date of Transfer CheckCAD to USD Conversion Additional NotesNOTE: To populate this form for a whole year, right click on Jan. tab - select Move or Copy - dialog box opens (check the "create a copy" in the Dialog box), select a blank sheet, and click okay on Dialog box. Right click on new worksheet and rename the new tab to month needed. Contine for 12 months so workbook will contain a blank worksheet for each month in the year.
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TOTAL included in check
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Submitted by:
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Sender's Name:SCA Name:
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Street Address:
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City:email:0
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State/Province:
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Telephone:
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