Katahdin Area Council Campership Form

Name _____________________________

Address ___________________________

City/State/ZIP ______________________

Company Name _____________________

Email Address _____________ @ _______

Home Phone ________________________

Business Phone ______________________

District  _____________ Unit _______
 
___$325  “cost to support 1 Scout at camp each year” 
___$650  “cost to support 2 Scout at camp each year”
___$975  “cost to support 3 Scout at camp each year”

Other Amount ________
 
My employer makes matching gifts
Employer Name: _______________
Payment Choice: Cash, Check, Credit Card, Pledge

Bill Now ___                     Monthly ____
 
Twice Annually ___         Quarterly____
 
 
Credit Card Payment (MC/VISA/AMEX/Discover)
Credit Card # ___________________________
Exp. Date ____     security code on back _____
Signature ______________________________
Make Checks payable: Katahdin Area Council, BSA
Mailing Address:
Katahdin Area Council, BSA—c/o FOS
90 Kelley Road, Orono ME 04473